Dear Sir or Madam, Why is 100 cases & 1 million population a
satisfactory criterion of excellence? It means that a bad team
which meets these requirements is IOG-compliant whereas a good team
which falls short of these figures is non-compliant - silly.
Surgery outcomes should be used to compare whether units of
whatever size are for for purpose.

IOG-compliance based on surgery cases only is a small part of the
issue - better recognition by GPs, better diagnosis and better
after-treatment (including the best drugs) would have a greater
effect but are ignored - why?

NHS management's only justification is to provide the facilities
and conditions in which the clinicians can work best. Instead they
use NHS funds to give them mastery over clinicians.

In a "patient-led NHS" we expected patients to be considered but we
have consultations where the outcome is already decided, regardless
of public opinion - why?

Yours faithfully,

Peter Mellor

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