Views & Reviews If I Ruled the NHS

Put all GPs on a salaried contract

BMJ 2015; 350 doi: (Published 30 April 2015) Cite this as: BMJ 2015;350:h2254
  1. Alan Maynard, emeritus professor of health economics, University of York
  1. alan.maynard{at}

If I ruled the NHS I would buy stocks and an ample supply of rotten eggs. I would install one set of stocks outside Richmond House (the Department of Health headquarters in London) and another outside Quarry House (NHS England’s headquarters in Leeds). Evidence free practitioners of NHS “re-disorganisations” and other faith based policies—health secretary Jeremy Hunt, his predecessor Andrew Lansley, and the previous Labour incumbents Andy Burnham and Alan Milburn—would be punished, as an example. Iain Chalmers, Ben Goldacre, and associated “evidence apostles” would be supplied with the eggs. Such public shaming could be avoided if interventions were appropriately piloted and accompanied by well designed evaluations of their cost effectiveness. …

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