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

Ownership, integration, and medical leadership are key

  1. Robert Morley, general practitioner principal (
  1. Erdington Medical Centre, Birmingham B24 8NT

    EDITOR—Shapiro and Smith provide an insightful summary into possible reasons for the success of the Kaiser Permanente model compared with the disintegrated system which is clearly failing in the NHS.1

    The authors say that Kaiser “employs its doctors.” This is incorrect. Kaiser Permanente delivers health care through regional Permanente medical groups, which are entirely owned, led, and …

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