Rapid responses are electronic comments to the editor. They enable our users to debate issues raised in articles published on bmj.com. A rapid response is first posted online. If you need the URL (web address) of an individual response, simply click on the response headline and copy the URL from the browser window. A proportion of responses will, after editing, be published online and in the print journal as letters, which are indexed in PubMed. Rapid responses are not indexed in PubMed and they are not journal articles. The BMJ reserves the right to remove responses which are being wilfully misrepresented as published articles.
From my limited perspective, I watch the rising financial problems of
the NHS. One minor point is the new spurious services, not properly
integrated, which arise from the centre as a response to perceived (?
lobbying) needs. These services seem to replicate what is there already.
They also take advantage of the core services that are there already by
not offering a fully available service and allowing the core services to
still pick up most of the work. Of course if the core services are still
doing most of the work, were these new services needed at all? In my own
area these services seem to come and go and ultimately are ignored but
what have they cost in the meantime?