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Letters NHS reforms

New ways to harm patients

BMJ 2010; 341 doi: (Published 09 November 2010) Cite this as: BMJ 2010;341:c6308
  1. Hendrik J Beerstecher, GP principal1
  1. 1Sittingbourne, Kent ME10 4JA, UK
  1. hendrick.beerstecher{at}

Where has the idea come from that GPs know the cost effectiveness of every intervention during their consultations?1

When faced with a clinical problem, I formulate a provisional diagnosis and offer patients the choice of available treatment options. What should I do instead? Omit or misrepresent certain treatment options? The better informed patients will know the available options, and I am likely to be able to fob off only the more deprived patients with inferior healthcare. …

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