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

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 …