Intended for healthcare professionals

Letters Changes in the NHS

Going to hell in a hand cart?

BMJ 2012; 344 doi: (Published 27 March 2012) Cite this as: BMJ 2012;344:e2288
  1. Jonathan Mark Fraser Temple, public health physician
  1. 1Public Health Wales, Cardiff CF11 9LJ, UK
  1. mark.temple{at}

Three small points for us all to consider.1 Firstly, only England is changing its NHS as part of the current parliamentary mess. The rest of the UK is wisely treading a very different path and delivering more effective care.

Secondly, the focus on objectives by …

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