For healthcare professionals only


Waiting times and the patient's charter

BMJ 1994; 309 doi: (Published 30 July 1994) Cite this as: BMJ 1994;309:343
  1. C J Burns-Cox
  1. Directorate of Medical Services, Frenchay Hospital, Bristol BS16 1LE.

    EDITOR, - A M Ansons and colleagues say that they “have already had to accede to the divisive requirements of a two tier system engendered by fundholding and non-fundholding practices, which is inevitable (and undeniable).”1 Guidance from the Department of Health and the Joint Consultants Committee issued in 1991 stated that “hospitals should not offer contracts to one GP or health authority which would disadvantage the patients of another.”2 The NHS Executive has not been honest enough to retract this publicly and connives and encourages preferential treatment for, in particular, patients of fundholding general practitioners.

    It is up to doctors to stick to the principle of treating according to clinical need so that money available to the health service is used for maximum health gain. Once we give in to politicians and managers for short term gains the public will, rightly, lose faith in us.


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