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David Oliver: Constant structural reorganisation won’t improve or transform healthcare

BMJ 2018; 361 doi: https://doi.org/10.1136/bmj.k2433 (Published 05 June 2018) Cite this as: BMJ 2018;361:k2433

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Re: David Oliver: Constant structural reorganisation won’t improve or transform healthcare

It is worth remembering the Francis Report (1) of the Mid Staffordshire tragedy. He pointed out that constant reorganisation meant that managers were unsure of their roles and did not perform effectively, and was a contributory factor leading to patient deaths.
Reorganisation not only costs time and money and demoralises staff. It costs lives.

1) Francis Report 2013 https://assets.publishing.service.gov.uk/government/uploads/system/uploa...
Accessed 14/6/2018

Competing interests: No competing interests

14 June 2018
Chris C Gunstone
GP (retired)
East Lothian, Scotland