The Carter review continues to make the news and to stir opinion.
I just want to make one, and I suppose predictable point here. There is a fundamental conflict between increased profitability and quality, expressly Peer Review defined quality to a “competent plus” threshold. The greater “gearing” ratios the greater the supervisory requirements especially in the new Preferred Supplier model. It is here that “efficiency savings” can be made and here where lies the greatest risk to all concerned.
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