Letters Tackling practice variation

How to do it

BMJ 2011; 342 doi: http://dx.doi.org/10.1136/bmj.d2285 (Published 08 April 2011) Cite this as: BMJ 2011;342:d2285
  1. Richard G Richards, assistant director of public health1
  1. 1NHS Derbyshire County, Babington Hospital, Belper, Derbyshire DE56 1WH, UK
  1. richard.richards{at}derbyshirecountypct.nhs.uk

How will the variations highlighted in the NHS Health Atlas of Variation in Healthcare be addressed,1 when little has changed since Glover’s analysis of the variation in tonsillectomy rates in England in 1938?2

Foundation trust contracts should require that unexplained and unacceptable (“bad”) clinical variation be reduced and reported each year to show progress. Commissioners …

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