Empowerment of patients—fact or fiction?

EDITOR—Empowerment of patients is a key element of the NHS Plan .1 However, the current obsession with performance indicators may pressurise managers to interfere with clinical services with little regard to the opinions of patients. Our unit has a busy orthopaedic outpatient clinic that deals with complex hip problems, many of which are tertiary referrals with patients travelling a considerable distance for their consultations. New patients …

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