Intended for healthcare professionals

Letters NHS reform

What about the politics of the reforms?

BMJ 2011; 342 doi: (Published 21 April 2011) Cite this as: BMJ 2011;342:d2587
  1. Clive Peedell, consultant clinical oncologist1
  1. 1James Cook University Hospital, Middlesbrough TS4 3BW, UK
  1. clivepeedell{at}

Walshe and Ham have taken the government’s stated objectives at face value, with no attempt to acknowledge and put into context the political ideology underpinning these reforms.1 The coalition government has a clear agenda to replace a large chunk of the public sector with the private and third sectors. “Rolling back the state” through privatisation, a reduction in the public sector workforce, and national pay bargaining and pension rights is one of the key supply side economic policies that this government thinks are necessary to tackle our dire economic situation. A low tax, low inflation, …

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