Intended for healthcare professionals

Views & Reviews From the Frontline

We are all businesspeople now

BMJ 2014; 348 doi: (Published 03 February 2014) Cite this as: BMJ 2014;348:g1322

Re: We are all businesspeople now

Can we have more Spence please?

Des Spence's articles, over the years, quite often challenged the status quo and the uncertain evidence base of many medical treatments and procedures. He certainly has upset many with his views.

I thoroughly enjoyed reading and mulling over his thought provoking articles although not necessarily agreeing with all of his viewpoints.( 1,2)

It is sad that he has decided to cede and retreat to Scotland. (3).

Has the silence of the majority (who enjoyed his articles) let the vocal minority (who opposed him) influenced his decision? Hope it hasn’t!


1. Sundar S Patients with cancer say yes to palliative chemotherapy. BMJ 2013; 347 doi:

2. Sundar S. DRE is useless for follow up of prostate cancer patients. rapid response. 13 June 2011.

3. Spence, D. Are all businesspeople now. BMJ 2014; 348 doi:

Competing interests: No competing interests

09 March 2014
Santhanam SUNDAR
Consultant Oncologist
Nottingham University Hospital NHS Trust