Intended for healthcare professionals

Letters Tackling practice variation

Threats and opportunities of the NHS reforms

BMJ 2011; 342 doi: (Published 08 April 2011) Cite this as: BMJ 2011;342:d2269
  1. Nigel Dudley, consultant in elderly medicine1
  1. 1St James’s University Hospital, Leeds LS9 7TF, UK
  1. nigel.dudley{at}

The NHS Atlas of Variation in Healthcare did not include a section on use of continuing healthcare resources despite the wide variation in its funding around the country (table). 1 Variation is partly influenced by local demography and epidemiology, but much remains unexplained, although it probably relates to how healthcare staff interpret and implement national …

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