Breaking the cycleBMJ 2009; 339 doi: https://doi.org/10.1136/bmj.b5131 (Published 01 December 2009) Cite this as: BMJ 2009;339:b5131
- Stephen F Hayes, general practitioner1
- 1Canute Surgery, Southampton SO19 9AL
It is a pity that Ham begins an article about learning from the history of NHS “reform” with: “The National Health Service in England has been on a rollercoaster ride of reform for over a decade. The journey started in 1997 with the white paper, The New NHS, and continued through the introduction of performance targets and standards. New systems for …
Log in using your username and password
Log in through your institution
Register for a free trial to thebmj.com to receive unlimited access to all content on thebmj.com for 14 days.
Sign up for a free trial