Rapid responses are electronic letters to the editor. They enable our users to debate issues raised in articles published on thebmj.com. Although a selection of rapid responses will be included online and in print as readers' letters, their first appearance online means that they are published articles. If you need the url (web address) of an individual response, perhaps for citation purposes, simply click on the response headline and copy the url from the browser window. Letters are indexed in PubMed.
Appleby suggests that the increased satisfaction with which the NHS
is run which the British Social Attitudes survey has recorded over the
past decade or so is "probably not unadjacent to the large rise in funding
The data he presents contain an internal test of this. Inpatient
services have not received investment, quite the contrary, and
satisfaction with them is unchanged.
Sometimes satisfaction can be miss the point; the family of a patient
whose cancer presented opportunities for timely diagnosis and curative
treatment that were not seized may still report their great satisfaction
with palliative care services.
It is hoped that under the aegis of the King's Fund future surveys
wil record in full detail the story of Britons' experience with the NHS.
No competing interests
14 April 2011
S. Michael Crawford
Consultant Medical Oncologist
Airedale General Hospital, Skipton Road, Steeton, Keighley, West Yorkshire BD20 6TD