Intended for healthcare professionals

Letters Healthcare’s creative future

Local government can bring NHS stakeholders together

BMJ 2018; 363 doi: (Published 16 October 2018) Cite this as: BMJ 2018;363:k4307
  1. Mike Robinson, public health consultant and general practitioner1,
  2. Kate Mtandabari, professional development consultant2
  1. 1London Borough of Merton, London Road, Morden SM4 5DX, UK
  2. 2London, UK
  1. mango.robinson{at}

We agree with Black that health systems are still beset with problems, despite the achievements of the era of assessment and accountability.1

Black says that central authorities will have to relinquish some control to enable local creativity to flourish and that the greatest challenge might be public concerns about changes to cherished ways of …

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