Intended for healthcare professionals

Letters Clinically integrated care

The new single organising principle?

BMJ 2011; 342 doi: (Published 18 April 2011) Cite this as: BMJ 2011;342:d2405
  1. Rajan Madhok, medical director1
  1. 1NHS Manchester, Manchester, UK
  1. rajan.madhok{at}
  • Competing interests: None declared.

Ham and colleagues are partly right that there is no inherent contradiction between pursuing competition and integration simultaneously.1

The difficulty with the current debate is that we are stuck in the …

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