Intended for healthcare professionals


Healthcare providers in New Zealand and England could learn from each other

BMJ 2000; 320 doi: (Published 19 February 2000) Cite this as: BMJ 2000;320:514
  1. Huw Charles-Jones, general practitioner (,
  2. Tom Butler, chief executive
  1. Upton Village Surgery, Upton, Chester CH2 1HD
  2. Chester City Primary Care Group, Chester CH1 4EN

    EDITOR—In asking what lessons primary care groups can learn from New Zealand's independent practitioner associations Malcolm and Mays seem to be underestimating the opportunities that primary care groups bring and the progress made so far.1 They correctly state that from April 1999 the chief executive of each NHS trust and the chairperson of each primary care group became accountable not only for the financial health of the organisation but also for the quality of the clinical services it delivers. This is a fundamental change …

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