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Views & Reviews From the Frontline

Goodbye to the noughties

BMJ 2009; 339 doi: (Published 09 December 2009) Cite this as: BMJ 2009;339:b5378
  1. Des Spence, general practitioner, Glasgow
  1. destwo{at}

    What of the past 10 years in the NHS? Management speak now pervades the service; I have caught myself referring to our children as stakeholders, empowering them to do homework and appointing champions of the washing up. The shopping list became a mission statement with key action points. Even the dog became the pet tsar, tasked with setting up a strategic partnership with the cat.

    GPs and consultants negotiated new contracts with management, demonstrating that doctors aren’t as dumb as portrayed in the mass …

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