Letters Competition in the English NHS

Let’s return to representative planning for a population

BMJ 2008; 336 doi: https://doi.org/10.1136/bmj.39556.411100.80 (Published 24 April 2008) Cite this as: BMJ 2008;336:905
  1. Robert Elkeles, consultant physician and professor of diabetic medicine
  1. 1Imperial College Healthcare NHS Trust, St Mary’s Hospital, London W2 1NY
  1. robert.elkeles{at}kelear.co.uk

Ham has reached the conclusion that the market approach to health care is not appropriate for disease prevention and chronic disease, and he argues for integration in health care.1 Most people working in the NHS have thought that the so called market is inappropriate for health care since it was introduced in the …

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