Intended for healthcare professionals


Can general practitioners compete with big business?: NHS privatisation was piloted in prisons

BMJ 2006; 332 doi: (Published 01 June 2006) Cite this as: BMJ 2006;332:1336
  1. Andrew J Ashworth (, general practitioner
  1. Davidson's Mains Medical Centre, Edinburgh EH4 5BP

    EDITOR—It is no surprise to see NHS general practice being eroded by big business.1 Doctors advocate for all their patients; politicians (the “owners” of the NHS) have pressures that are often at odds with those of patients and therefore their doctors.

    By seeking a system that reduces doctors' responsibility for patients to an employment contract (with minimum and maximum standards set by managers), …

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