Intended for healthcare professionals

Rapid response to:

Analysis Essay

Reform reform: an essay by John Oldham

BMJ 2013; 347 doi: (Published 20 November 2013) Cite this as: BMJ 2013;347:f6716

Rapid Response:

Re: Reform reform: an essay by John Oldham

CCGs are well aware of the problems caused by multimorbidity, but the autonomy that was promised to them, that could have permitted change driven by a generalist perspective, has come to nothing. They are bombarded with a bewildering array of directives and targets, and are unable to make virtually any major decision without it being sanctioned by NHS England.

Witnessing what is happening to the NHS is rather like watching an old friend being tortured on the rack by the Spanish Inquisition. Neither are permitted freedom, anything said has to be what the authorities want to hear, and both are paralysed by being pulled and stretched to breaking point in many different directions at once.

Competing interests: No competing interests

25 November 2013
Jonathan D Sleath
General Practitioner
Kingstone Surgery
Hereford, HR2 9HN.