NHS reorganisation: can GPs do it?

摘要

NHS reorganisation is upon us again with a change of philosophy and reversion to a strengthened, practice-based, commissioner-provider split. Since the announcement of this change and the subsequent White Paper, there has been a wealth of criticism. The objections fall broadly into several themes: some of which are evidenced and need little comment, but however, it is an observation that each new health secretary will make it clear that they intend to leave their personal organisational stamp on the NHS, regardless of any evaluation or estimate of transition costs. It is within these transitional periods though, that the high-minded, optimistic articulation of concepts become lost when translated into the reality of health service delivery.