The Darzi Review interim report has been published suspiciously early.
It argues that the government's current reforms are two-thirds complete. This is optimistic and one wonders if Lord Darzi is talking about the NHS I work in.
For example, PCTs are not driving change in the interests of patients, and involvement of the private sector is patchy. In fact in many places PBC is more practice-based conversation than commissioning.
The review seems to be reverting to the NHS Plan approach of 2000 by throwing money at polyclinics whether local services want them or not. This failed before and will fail again. What the NHS needs is real progress driven by clinicians for the benefit of our patients.
I am surely not alone in feeling frustrated at the lack of progress and the implication that it is clinicians who are slowing the reforms.
Dr Paul Charlson, Brough, North Humberside.