Letters Open letter to the BMA

NHS reform is unnecessary reinvention

BMJ 2011; 342 doi: http://dx.doi.org/10.1136/bmj.d618 (Published 01 February 2011) Cite this as: BMJ 2011;342:d618
  1. David H Ruben, general practitioner1
  1. 1Langstone Way Surgery, London NW7 1GR, UK
  1. davidruben{at}talk21.com

The current reforms are an unnecessary reinventing of past NHS structures.1 Commissioning bodies will be too small for major spending on say dialysis, transplants, and other high cost treatments. For these and for economy of scale (policy development, pharmaceutical advisers, training programmes, etc) …

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