Letters Falling research in the NHS

Tackle deprofessionalisation and fragmentation

BMJ 2010; 340 doi: https://doi.org/10.1136/bmj.c3456 (Published 29 June 2010) Cite this as: BMJ 2010;340:c3456
  1. Michael Moutoussis, locum consultant psychiatrist in psychotherapy1
  1. 1East London Foundation Trust, City and Hackney Therapeutic Community and Outreach Services, London E9 6AT
  1. michael.moutoussis{at}eastlondon.nhs.uk

    Rees and Wells point out important difficulties facing NHS research.1 However, local governance is not the key problem. Fragmenting the NHS into competing businesses profoundly undermines research. Forcing staff to compete and struggle for survival also pushes them to seek competitive advantage by cutting corners, externalising costs on to patients. The medical …

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