Intended for healthcare professionals

Views & Reviews If I Ruled the NHS

Only the mother of all reorganisations can save the NHS

BMJ 2015; 350 doi: (Published 19 March 2015) Cite this as: BMJ 2015;350:h1488

This article has a correction. Please see:

  1. Bob Morley, general practitioner, Birmingham
  1. robert.morley{at}

“No more top-down reorganisations” is a familiar mantra. Sorry, folks, but the NHS has been reduced to such a state that only the mother of all reorganisations can now save it.

After three decades of wanton destruction, from Margaret Thatcher’s Griffiths report on NHS management in 1983, through to her internal market measures, then New Labour’s initiation of the competition and privatisation agenda, and finally Andrew Lansley’s cataclysmic Health and Social Care Act 2012 and its fallout, only radical measures can now save and restore the modern wonder of the world back to its rightful place.

If I ruled the NHS I …

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