Intended for healthcare professionals

Views & Reviews If I Ruled the NHS

Ban management consultants

BMJ 2015; 350 doi: (Published 15 January 2015) Cite this as: BMJ 2015;350:h28
  1. Max Pemberton, doctor working in mental health and columnist, Daily Telegraph
  1. max.pemberton{at}

If I ruled the NHS I would repeal the Health and Social Care Act 2012 in a heartbeat. It was a disingenuous, poisonous piece of legislation that helped no one but corporate profiteers. Competition and the market have routinely failed to deliver equitable, cheap, and efficient healthcare in other countries and should therefore be excised from the NHS. The act was politically and ideologically motivated and should never have been introduced. Similarly, the tortuous, labyrinthine bureaucracy of commissioning must be ended. It is grossly wasteful, draining resources, time, money, and manpower from care delivery. The tendering …

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