Abstract

Whatever the pros and cons for patients, the UK's healthcare reforms promise an uncomfortable ride for doctors. The BMJ 's series on the NHS revolution, which continues this week, may be a wake-up call for doctors who haven't yet seen the writing on the wall. Competition is changing the face of health care in the UK. As Nick Timmins explains (p 1193), competition in secondary care has already forced both the NHS and the private sector to change their behaviour. In response to the first wave of independent sector treatment centres (ISTCs), provided mainly by foreign contractors, BUPA …

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