Intended for healthcare professionals

Rapid response to:


Reorganisation of the NHS in England

BMJ 2010; 341 doi: (Published 16 July 2010) Cite this as: BMJ 2010;341:c3843

Rapid Response:

Good ideas vs poor implementation

I totally agree with Kieran's comments and it continues to puzzle me
why the politicians just don't see it! I have been to numerous events
where eminent advisors have repeatedly beaten the drum about the dangers
or reorganisation reiterating why the private sector very rarely do it - because it achieves very little benefit, affects morale and performance
and costs a lot of money. I think the point is that no matter how good an
idea this one may be, it is yet another reorganisation with no evaluation
of the previous ones and no evidence base of the model proposed. It might
work really well, but those of us who have worked in the NHS for many
years unfortunately know that no matter how well it works, we won't be
given a chance to embed anything properly until the next reorganisation
comes along and everything changes again.

If the coalition could introduce this change along with legislation to
prevent politicians from undoing it but allowing the clinicians, patients
and managers to run things in the future as suggested by some of the other
respondents then we might have a but more confidence. But, as good as some
of the proposals sound, they will end up being ill thought out from a
practical implementation perspective, rushed and expensive. Please just
leave those people doing the job to do exactly that.

Competing interests:
None declared

Competing interests: No competing interests

29 July 2010
L J Reid
Quality Improvement
North West