Intended for healthcare professionals

Rapid response to:

Observations On the Contrary

What to cut

BMJ 2009; 338 doi: https://doi.org/10.1136/bmj.b1457 (Published 07 April 2009) Cite this as: BMJ 2009;338:b1457

Rapid Response:

Tony Delamothe's suggestions

I agree with Tony.

I would close down the purchaser-provider split - unnecessary staff,
accountants, fraud, legal expenses, dividends for private sector investors
etc. We need Cooperation rather than competition and comprehensive
planning for populations.

Close down strategic health authorities and many quangos.
Remove most of the targets.
Stop PFI

Limit the maximum salary for all staff to £150,000 or five times that of
the lowest paid in the NHS. If people will not work in for this they are
not the sort of people we need in the NHS

Competing interests:
None declared

Competing interests: No competing interests

21 April 2009
christopher burns-cox
consultant physician
Southend Farm,Wotton-under-Edge, GLOS GL12 7PB