Intended for healthcare professionals


Even clinician led management won't fix the NHS

BMJ 2006; 333 doi: (Published 30 November 2006) Cite this as: BMJ 2006;333:1174
  1. Adam R Greenbaum, consultant plastic surgeon
  1. 1St Thomas' Hospital, London SE1

Although I echo Flook's personal view and have argued similarly for many years,1 2 I suspect that until governments agree not to set political targets by which healthcare provision is measured, even clinician led management will fail. The NHS was charged originally with providing the best available health care to the whole population, according to need, free at source. In a changing environment with financial constraints, the challenge for us all …

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