Losing touch with NHS reality: government on trajectory to two tier service

Launer recalls a patient vignette in a government pamphlet about a patient called Sarah with sinus pain and hearing loss who is referred by a nurse practitioner for a CT scan. She uses the NHS app to arrange the scan in her local shopping centre and later to check reviews to find the best local consultant, who arranges multiple further investigations and leaves her happy with her care.1 As Launer points out, Sarah’s story is completely …