Intended for healthcare professionals


Hospital bed utilisation in the NHS and Kaiser Permanente

BMJ 2004; 328 doi: (Published 04 March 2004) Cite this as: BMJ 2004;328:584

Authors' reply

  1. Chris Ham, director (,
  2. Nick York, senior economic adviser,
  3. Rob Shaw, economic adviser,
  4. Steve Sutch, senior consultant
  1. Strategy Unit, Department of Health, London SW1A 2NS
  2. Economics and Operational Research Division, Department of Health, Leeds LS2 7UE
  3. NHS Information Authority, Winchester SO22 5DH

    EDITOR—We agree with Black that improved bed management is not expensive and with Badrinath that other evidence supports our argument that the NHS can learn from Kaiser. Like Evans, we were sceptical of the claims made by Feachem et al in their original paper,1 but as the evidence has changed we have been willing to change our minds.

    Ebrahim et al claim that incidence figures for stroke are not available. They seem to …

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