Intended for healthcare professionals

Letters No more “restructuring” of the NHS

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

BMJ 2019; 366 doi: https://doi.org/10.1136/bmj.l5043 (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
  1. steve.i.black{at}gmail.com

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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