Letters Two tier health systems

ISTCs are not on the radar

BMJ 2010; 340 doi: https://doi.org/10.1136/bmj.c2644 (Published 18 May 2010) Cite this as: BMJ 2010;340:c2644
  1. Gareth L Greenslade, consultant anaesthetist1
  1. 1Department of Anaesthesia, North Bristol NHS Trust, Frenchay Hospital, Bristol BS16 1LE
  1. greenslade{at}doctors.org.uk

    With other doctors, I have been developing services that deliver day case surgery (24-48 hours in hospital) for patients requiring major bowel surgery. These developments have been stimulated by our interest in providing optimum care for patients—in short, what we would want ourselves or for our families.

    Listening to friends who are managers of primary care trusts, I conclude that …

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