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Why is there only ever one truth in an idealogy?
My evidence, which I suggest is as well informed as Paul Corrigan's, is that Choice and PbR works fine for planned and elective care, but is an absolute disaster for emergency and unscheduled care.
We need to incentivise out of hospital care, not reward Hospitals for admitting patients who don't need admitting; The wrong incentives are driving precisely the wrong behaviour to fix the mess we are in. Time to reassess and rethink this strategy, because it's broke.
Brian James
Chief Executive
The Rotherham NHS Foundation Trust