Intended for healthcare professionals

Letters Tackling practice variation

Lessons from variation can help change health policy

BMJ 2011; 342 doi: (Published 08 April 2011) Cite this as: BMJ 2011;342:d2271
  1. Hugh C Rayner, consultant nephrologist and primary care trust clinical director1
  1. 1Heart of England Foundation Trust and NHS Birmingham East and North, Birmingham, UK
  1. hughrayner{at}

Variation in practice increases where ignorance and uncertainty exist.1 Strategies to reduce variation should involve learning from associations between practice variation and outcomes and then using appropriate health policy to drive change.

Where patterns of clinical practice vary between communities, the postcode lottery of …

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