Intended for healthcare professionals

Letters No more “restructuring” of the NHS

Don’t equate “reform” with “restructuring” of the NHS

BMJ 2019; 366 doi: (Published 08 August 2019) Cite this as: BMJ 2019;366:l5043
  1. Stephen Black, data scientist
  1. Black Box Data Science, Biggleswade SG18 0QA, UK

Oliver is right that calls for major structural reforms to the NHS are futile.1 But there is a good argument for the NHS needing “reform.” The mistake is to assume that reform means changing the top-down structure, which costs a lot but yields very little improvement to services.

But plenty of practices need to be reformed. General practitioners can and should change the …

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