Intended for healthcare professionals

Letters Is quality of care improving?

Author’s reply

BMJ 2011; 342 doi: (Published 01 March 2011) Cite this as: BMJ 2011;342:d1317
  1. Richard J Lilford, professor of clinical epidemiology1
  1. 1University of Birmingham, Birmingham, UK
  1. r.j.lilford{at}

Ramsden and O’Connor imply that the results of the Safer Patients Initiative (SPI1) were entirely negative, when we found some changes favouring SPI1 and none going the other way.1 2 3

A sharp improvement in the vigilance of monitoring was noted across the NHS in …

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