Intended for healthcare professionals

Letters After Francis, what next for the NHS?

NCAS performance assessment is seriously flawed

BMJ 2013; 346 doi: (Published 03 May 2013) Cite this as: BMJ 2013;346:f2775
  1. Helen L Birch, senior lecturer in musculoskeletal pathobiology1
  1. 1UCL Institute of Orthopaedics and Musculoskeletal Science, UCL Division of Surgery and Interventional Science, UCL, Stanmore HA7 4LP, UK
  1. h.birch{at}

The responsibility of healthcare workers to speak up about concerns features strongly in the Francis report.1 Doctors are well placed to blow the whistle on poor medical practices, but not until they are adequately protected. What better way to silence whistleblowing doctors than to devise a clinical assessment they can only ever fail? An absurd idea, but this is …

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