Intended for healthcare professionals

Letters NHS funding in England

Quality improvement is vital to NHS finances

BMJ 2016; 354 doi: (Published 06 September 2016) Cite this as: BMJ 2016;354:i4757
  1. Benjamin D Bray, public health registrar
  1. University College London, London, UK
  1. Benjamin.bray{at}

The editorial by Dixon and Warburton on NHS finances is extremely timely.1 I think, however, that an even stronger case could be made for the role of quality improvement in offering solutions to this slowly burning crisis. Without active efforts to increase clinical effectiveness, efficiency, and productivity, health services will be doomed to continue …

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