Intended for healthcare professionals


Maybe the time has come for the primacy of the patient in the NHS

BMJ 1999; 318 doi: (Published 19 June 1999) Cite this as: BMJ 1999;318:1700
  1. Hugh Alberti, Lecturer in primary health care (,
  2. George Alberti, President
  1. Grey Towers Court, Middlesbrough TS7 0NJ
  2. Royal College of Physicians of London, London NW1 4LE

    EDITOR—We wholeheartedly agree with Hampton's statement that cooperation and understanding between primary and secondary care are crucial.1 Unfortunately, his article has done little to promote these. He states that there is “no evidence that an NHS based on the primacy of primary care will function any better” and then attacks primary care with equally little evidence in support of his uninformed, dogmatic statements.

    Firstly, the increase in admissions for medical emergencies does not prove …

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