Intended for healthcare professionals

Rapid response to:


Does improving quality of care save money?

BMJ 2009; 339 doi: (Published 11 September 2009) Cite this as: BMJ 2009;339:b3678

Rapid Response:

Allow patients to choose their PCT

Ovretveit suggests that “the incentive and financial systems for
providers should be redesigned”. How can the system be redesign? By giving
PCTs more power and incentive. Allow PCTs to compete for patients and
allow patients to choose their PCT.1

“The review notes the cultural, financial, budgetary, and managerial
barriers to improving quality with an eye to costs”. It is these barriers
that re-invigorated and empowered PCTs would want to overcome 2,3 . I am
sure such PCTs would be anxious to listen to any “cost issues and the
sources of clinical failings” that senior clinicians might want to

1 “Let the public shape the NHS” HSJ. 15 October, 2008

2 “What lessons are there for the UK and the NHS from Professor
Reinhardt article?”
Rapid response,, 2 May 2007

3 “A Rational Way Forward for the NHS”
Rapid response,, 15 May 2007

Competing interests:
None declared

Competing interests: No competing interests

24 September 2009
David Allen
Manchester University. M13 9PL