Intended for healthcare professionals

Letters NHS reform

Bill is not fit to be amended

BMJ 2011; 342 doi: (Published 21 April 2011) Cite this as: BMJ 2011;342:d2591
  1. Jonathon P Tomlinson, general practitioner1
  1. 1Lawson Practice, London N1 5HZ, UK
  1. echothx{at}

The King’s Fund should be bold and declare that the proposed NHS reforms will worsen the existing problems of poor communication and collaboration in the NHS.1 They will not address poor standards of care and will widen inequalities.

The potentially beneficial parts of the bill, such as greater clinician participation in decision making, are too tightly hitched to the most damaging parts, such as the purchaser-provider split and the external market. The damaging parts of the bill are so dangerous that no amount of amending can make it …

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