None so blind

doi:10.1136/bmj.39346.513808.3A

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Martyn C Wake, joint medical director

Sutton and Merton Primary Care Trust, Nelson Hospital, London SW20 8DB

martyn.wake{at}nhs.net

Heath puts forward some solid arguments against the polyclinic concept proposed in Lord Darzi's review of health care in London,1 but she is blind to the deficiencies in our services, cited in A Framework for Action.2

In some places, access to general practitioners' services, even by telephone, is inadequate. Some practices still close for half a day each week or are not open …