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Letters User fees for NHS primary care in England

Supermarket plastic bags and NHS demand management

BMJ 2023; 380 doi: https://doi.org/10.1136/bmj.p630 (Published 22 March 2023) Cite this as: BMJ 2023;380:p630
  1. Santhanam Sundar, consultant oncologist
  1. Nottingham University Hospital NHS Trust, Nottingham NG5 1PB, UK
  1. sundar{at}oncology.org

The NHS is struggling and lurching from one crisis to another because it is underfunded compared with its peers in the western world.1 Demand in the NHS is currently managed indiscriminately and haphazardly through scarcity of GP appointments, long emergency department waiting times, delays in scanning, and long waiting lists for surgery.

The NHS, which is free at …

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