Intended for healthcare professionals

Letters Primary medical care market

Destabilisation of primary care with equitable access

BMJ 2009; 338 doi: (Published 21 April 2009) Cite this as: BMJ 2009;338:b1600
  1. John S Ashcroft, general practitioner1
  1. 1Old Station Surgery, Ilkeston, Derbyshire DE78 PZ
  1. jsashcroft{at}

    I welcome the critique by Ellins and colleagues of yet another poorly thought out “reform”—the opening up of the primary medical care market with equitable access.1

    My practice is one of the lowest funded practices in Derbyshire, and covers an area of high deprivation. Indeed, for the level of deprivation we serve there isn’t …

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