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Letters NHS reforms

New ways to harm doctors

BMJ 2010; 341 doi: (Published 09 November 2010) Cite this as: BMJ 2010;341:c6309
  1. Roswitha-E Goetze-Pelka, retired psychiatrist
  1. 1Fearn, Ross-Shire IV20 1XH, UK
  1. roswitha.gotze-pelka{at}

Ruta has not thought about the consequences of his suggestions.1 Beerstecher has started to imagine the consequences,2 but they would be far worse.

In Germany all outpatient clinics are managed by self employed physicians, GPs, and consultants, who are paid according to how many patients they treat (with a maximum per patient). Doctors who …

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