Intended for healthcare professionals

Letters Leading healthcare in London

Hold on tight and be prepared to change in a few years

BMJ 2013; 347 doi: (Published 20 August 2013) Cite this as: BMJ 2013;347:f5178
  1. Geoffrey C Rivett, contemporary NHS historian1
  1. 1Homerton NHS Foundation Trust, London E9 6SR, UK

The King’s Fund report Leading Health Care in London 1 and the linked BMJ editorial2 describe the latest episode in the problem of London’s hospitals over the past two centuries.3

The development and implementation of the 2012 act is as messy as the multiple schemes leading to the 1974 reorganisation, which it beats hands down in terms of its unworkable complexity. The Grey …

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