A Practical NHS

For many years the World Health Organisation has stressed the benefits of a more flexible and less doctrinaire approach to health provision.

A more pluralistic health service would enhance the chances for innovation and service development, and would increase patient access.

Far from detracting from professional status and opportunity, it could in fact increase the sense of control and responsibility for results at the local level.

We need to distinguish between the moral idealism of the original concept of our NHS and the practical results and be prepared to make changes where they are necessary.

The naive identification of the aspiration for social justice with the tool of nationalisation represents the continued triumph of political illusion over the real interests of patients.

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