Rapid responses are electronic comments to the editor. They enable our users to debate issues raised in articles published on bmj.com. A rapid response is first posted online. If you need the URL (web address) of an individual response, simply click on the response headline and copy the URL from the browser window. A proportion of responses will, after editing, be published online and in the print journal as letters, which are indexed in PubMed. Rapid responses are not indexed in PubMed and they are not journal articles. The BMJ reserves the right to remove responses which are being wilfully misrepresented as published articles.
This is a typical irrelevant and damaging response to a medical disaster. We don’t need to dismantle medical structures of hierarchy that have worked well, arguably far better than today’s down-levelling politics for decades. Look at the end result of the political response to Shipman: No GP is now properly equipped to deal with emergencies. Fewer than 10% carry effective pain relief. (Lecture notes in Good Practice 2018) We need doctors that do their job well and ethically and colleagues and administrators who review the outcomes of the unit regularly. Not the patient unfriendly and damaging democratisation of knocking doctors off pedestals.
We have had Appraisal for over a decade. Isn’t that supposed to detect and prevent such awful behaviour?