News Move to split role of healthcare purchaser and provider may have to be abandoned, expert says BMJ 2008; 336 doi: https://doi.org/10.1136/bmj.39562.531308.DB (Published 01 May 2008) Cite this as: BMJ 2008;336:979 Article Related content Metrics Responses Peer review Related articles Analysis Competition and integration in the English National Health Service Published: 10 April 2008; BMJ 336 doi:10.1136/bmj.39532.445197.AD Letter Current system has lost touch with reality of patient care Published: 15 May 2008; BMJ 336 doi:10.1136/bmj.39577.668993.3A See more Introductory Address Prov Med Surg J October 03, 1840, s1-1 (1) 1-4; DOI: https://doi.org/10.1136/bmj.s1-1.1.1 Report of the Meeting of the Eastern Branch of the Provincial Association at Bury St. Edmond's Prov Med Surg J October 03, 1840, s1-1 (1) 10-13; DOI: https://doi.org/10.1136/bmj.s1-1.1.10 Mr. Warburton's Bill for the Regulation of the Medical Profession Prov Med Surg J October 03, 1840, s1-1 (1) 13-15; DOI: https://doi.org/10.1136/bmj.s1-1.1.13 An Atlas of Plates, illustrative of the Principles and Practice of Obstetric Medicine and Surgery, with descriptive Letterpress Prov Med Surg J October 03, 1840, s1-1 (1) 4; DOI: https://doi.org/10.1136/bmj.s1-1.1.4 A Practical Treatise on the Diseases peculiar to Women, illustrated by Cases, &c Prov Med Surg J October 03, 1840, s1-1 (1) 4-5; DOI: https://doi.org/10.1136/bmj.s1-1.1.4-a Cited by... Current system has lost touch with reality of patient careFulltext PDF