Intended for healthcare professionals

Letters Past lessons and health reform

Breaking the cycle

BMJ 2009; 339 doi: (Published 01 December 2009) Cite this as: BMJ 2009;339:b5131
  1. Stephen F Hayes, general practitioner1
  1. 1Canute Surgery, Southampton SO19 9AL
  1. steveappleseed{at}

    It is a pity that Ham begins an article about learning from the history of NHS “reform” with: “The National Health Service in England has been on a rollercoaster ride of reform for over a decade. The journey started in 1997 with the white paper, The New NHS, and continued through the introduction of performance targets and standards. New systems for …

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