Intended for healthcare professionals

Letters Reorganisation of the NHS

Constant structural reorganisation is likely to continue

BMJ 2018; 362 doi: (Published 19 July 2018) Cite this as: BMJ 2018;362:k3107
  1. Neville W Goodman, retired anaesthetist
  1. Bristol, UK
  1. nevwgoodman{at}

Oliver is right that constant structural reorganisation won’t improve or transform healthcare, but he does not go back far enough.1 Modern reorganisation of the NHS started with Kenneth Clarke’s 1989 white paper, when Clarke was seeking “less waste and greater efficiency.”2 Whether the overabundance of “redisorganisation”3 since then has given us less waste and greater efficiency is, I suspect, a political and not …

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