Rapid responses are electronic letters to the editor. They enable our users to debate issues raised in articles published on thebmj.com. Although a selection of rapid responses will be included online and in print as readers' letters, their first appearance online means that they are published articles. If you need the url (web address) of an individual response, perhaps for citation purposes, simply click on the response headline and copy the url from the browser window. Letters are indexed in PubMed.
Brian Jarman's comment at the second mid-Staffs inquiry about "public humiliation ... as the system's major quality improvement driver" reminds me of remarks of the Court of Appeal in the cases of Sharon Shoesmith and Rose Gibb (see my personal blog entry). Political pressure to deflect press and public obloquy leads to regulators getting things wrong. Robert Francis has the chance to correct this scapegoating in his review of health regulators.
No competing interests
16 June 2011
D B Double
Norfolk & Waveney Mental Health NHS Foundation Trust, Lowestoft NR32 1PL