Intended for healthcare professionals

Rapid response to:

Feature BMJ Round Table

After Francis, what next for the NHS?

BMJ 2013; 346 doi: (Published 10 April 2013) Cite this as: BMJ 2013;346:f2074

Rapid Response:

Re: After Francis, what next for the NHS?

The constitution of this group mirrors the problem there is in the present NHS. Only a couple of the participants will have any experience of front-line medicine; the rest will have only second hand information, 'Knowledge' has two components: factual and experiential and the latter will be missing. No doubt they regard themselves as experts but like any expert they do not know what they do not know. Also there are several references to patients' views, but who is representing the patients?

The present administration of the NHS is contrary, with lay administrators firmly in control and clinicians side-lined. It is active clinicians who should be directing the NHS working with administrators who should have clinical experience as part of their training.

Competing interests: No competing interests

15 April 2013
Julian A C Neely
General Surgeon
27 Springfield Park, Horsham, West Sussex RH12 2BF