Intended for healthcare professionals

Letters Too late to stop the bill?

The NHS is not a sacred cow

BMJ 2012; 344 doi: (Published 21 February 2012) Cite this as: BMJ 2012;344:e1220
  1. Adam P Fitzpatrick, consultant cardiologist1
  1. 1Fernleigh Consulting Centre, Wilmslow, UK
  1. adam.fitzpatrick{at}

McLellan and colleagues’ position on Lansley’s NHS “reforms” is that the NHS is a sacred cow that doesn’t need reform.1 The NHS provides free healthcare to all but with no incentive for responsible usage. Unrestricted demand and poor commissioning result in distorted priorities and “postcode lotteries.” Reform is needed to encourage more responsible usage. A key tool, …

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