{"id":21077,"date":"2012-10-04T10:47:59","date_gmt":"2012-10-04T09:47:59","guid":{"rendered":"https:\/\/blogs.bmj.com\/bmj\/?p=21077"},"modified":"2012-10-04T11:54:01","modified_gmt":"2012-10-04T10:54:01","slug":"pritpal-s-tamber-how-my-local-ccg-disrespects-its-patients","status":"publish","type":"post","link":"https:\/\/blogs.bmj.com\/bmj\/2012\/10\/04\/pritpal-s-tamber-how-my-local-ccg-disrespects-its-patients\/","title":{"rendered":"Pritpal S Tamber: How my local CCG disrespects its patients"},"content":{"rendered":"<p><a href=\"https:\/\/blogs.bmj.com\/bmj\/2012\/09\/25\/pritpal-s-tamber-only-trust-will-make-the-future-model-of-care-work\/pritpal_tamber2\/\" rel=\"attachment wp-att-20833\"><img loading=\"lazy\" decoding=\"async\" class=\"alignleft size-full wp-image-20833\" src=\"https:\/\/blogs.bmj.com\/bmj\/files\/2012\/09\/pritpal_tamber2.jpg\" alt=\"\" width=\"160\" height=\"130\" \/><\/a>I went to my local \u201cpatient participation\u201d group meeting last week. My local practice said they were seeking feedback on their commissioning plans and suggested I attend. This was quite gracious (and brave) of them given <a href=\"https:\/\/blogs.bmj.com\/bmj\/2012\/08\/02\/pritpal-s-tamber-to-inform-we-need-to-enable\/\">how rude I was<\/a> about their attempts to create a patient leaflet.<\/p>\n<p>I think all non-practising clinicians and health managers should be in patient participation groups. Healthcare is a complex beast, often impenetrable even to those within it. Asking patients for their views is obviously the right thing to do, but without helping them to understand healthcare\u2014clinically and as a business\u2014it seems almost cruel.<!--more--><\/p>\n<p>My immediate reaction to the meeting was my usual one in any kind of community event in central London\u2014the people in the room did not remotely represent the local population. Most of the patients were north of 50, perhaps 60, and nearly all were white and of British origin. None of the organisers seemed too worried about this, even when they (proudly) presented data showing how diverse the local community was.<\/p>\n<p>I\u2019m guessing somewhere in the requirements for authorisation of clinical commissioning groups (CCGs), the new bodies that will procure services for a local community, is a tick box for patient engagement. I\u2019d hate to think my local CCG has been able to tick that box on the basis of this meeting, but I have a horrible feeling they will. This seems like nothing short of an injustice for local communities.<\/p>\n<p>One of the key questions we were asked was what do we want to see in our \u201ccare plans.\u201d One of the patients asked what this was and was told by a health manager it was a plan for anyone with a long-term condition. One of the hosting GP\u2019s balked at this description and clarified that it wasn\u2019t for everyone with a long-term condition but for those with complex conditions. I have to admit that I found this clarification confusing and when I looked around the room I saw the kind of head nodding people do when they clearly don\u2019t know what is being said but are not sure how to ask the next question.<\/p>\n<p>Strangely, the patients then set about listing what they wanted to see in a care plan. When they were asked to read out some of their answers one of the patients said it depended on what the condition was. Although she said it as a statement, there was a questioning inflection at the end of her sentence. I was hoping the inflection would draw a response from the organisers, but it didn\u2019t. After a momentary awkward silence, the hosts nodded with strained smiles and the patients duly responded a split second later with the same; it reminded me once again that <a href=\"https:\/\/blogs.bmj.com\/bmj\/2012\/07\/03\/pritpal-s-tamber-err-so-what-are-we-talking-about-again\/\">no one really knows what anyone else is saying<\/a>.<\/p>\n<p>At one point a GP used the term \u201cprimary care,\u201d and, in a moment of brave civic expression, one patient jumped in to ask how discharging a patient in the middle of the night was in any way \u201cprimary.\u201d The GP and patient were clearly using different definitions of the word \u201cprimary\u201d but this wasn\u2019t acknowledged. The GP did acknowledge that they needed to speak with the hospital about discharging patients over night but left the misunderstanding uncorrected, which seemed like a missed opportunity.<\/p>\n<p>As my despair grew, comic relief was provided by a bizarre few minutes in which three or four patients decried how awful the local physiotherapy services were. The principal complaint seemed to be that patients \u201cwait for weeks and then get a piece of paper\u201d telling them what to do (presumably a diagram from the ubiquitous <a href=\"http:\/\/www.physiotools.com\/\">Physio Tools<\/a>). I wasted no time sending a text to goad my friend who used to run part of the local service. Worryingly, she agreed.<\/p>\n<p>I think the most penetrating question of the night was from someone who wanted to see the finances of the local CCG. This made all the sense in the world to me and reminded me that there are people out there that want to understand\u2014in detail\u2014where their money is going. The answer he got was rubbish\u2014a polite fob off, at best. I can only hope that he asks the same question and each and every meeting, and that sooner rather than later the CCG get the message\u2014it\u2019s not your money it\u2019s ours, we want to see where it\u2019s going.<\/p>\n<p>It\u2019s clear to me that if patient participation is going to mean something we first need to ensure the patients in the room represent the local community. Once that\u2019s achieved\u2014and it\u2019s not an easy thing to achieve\u2014the representatives need background information\u2014if not outright education\u2014on what healthcare is. Without that, how will they know what to question, where to probe, and how to influence services for the benefit of the people they represent?<\/p>\n<p>Clever people call this health literacy. I think it\u2019s just a matter of respect.<\/p>\n<p><em><strong>Competing interests<\/strong>: I am interested in joining my local Health Watch, although whether this post helps or hinders me I am not sure. I tweeted some thoughts during the event and as a result was asked by the <\/em>Health Service Journal<em> for my views but I declined to comment, preferring to write this post and also share it with my local CCG first.<\/em><\/p>\n<p><em><strong>Pritpal S Tamber<\/strong> is the director of Optimising Clinical Knowledge Ltd, a consultancy that helps organisations improve how they use established clinical knowledge. He was previously the medical director of Map of Medicine Ltd, a company that creates clinical pathways to help health communities design services. He was the editorial director for medicine for BioMed Central Ltd and he was also the managing director of Medicine Reports Ltd. He has twice been an editor at the <\/em>BMJ<em>, the first time as the student editor of the <\/em>Student BMJ<em>.<\/em><\/p>\n","protected":false},"excerpt":{"rendered":"<p>I went to my local \u201cpatient participation\u201d group meeting last week. My local practice said they were seeking feedback on their commissioning plans and suggested I attend. This was quite [&#8230;]<\/p>\n<p><a class=\"btn btn-secondary understrap-read-more-link\" href=\"https:\/\/blogs.bmj.com\/bmj\/2012\/10\/04\/pritpal-s-tamber-how-my-local-ccg-disrespects-its-patients\/\">More&#8230;<\/a><\/p>\n","protected":false},"author":1,"featured_media":0,"comment_status":"open","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[236,5680],"tags":[],"class_list":["post-21077","post","type-post","status-publish","format-standard","hentry","category-nhs","category-pritpal-s-tamber"],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v27.6 - https:\/\/yoast.com\/product\/yoast-seo-wordpress\/ -->\n<title>Pritpal S Tamber: How my local CCG disrespects its patients  - The BMJ<\/title>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/blogs.bmj.com\/bmj\/2012\/10\/04\/pritpal-s-tamber-how-my-local-ccg-disrespects-its-patients\/\" \/>\n<meta property=\"og:locale\" content=\"en_US\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"Pritpal S Tamber: How my local CCG disrespects its patients  - The BMJ\" \/>\n<meta property=\"og:description\" content=\"I went to my local \u201cpatient participation\u201d group meeting last week. My local practice said they were seeking feedback on their commissioning plans and suggested I attend. This was quite [...]More...\" \/>\n<meta property=\"og:url\" content=\"https:\/\/blogs.bmj.com\/bmj\/2012\/10\/04\/pritpal-s-tamber-how-my-local-ccg-disrespects-its-patients\/\" \/>\n<meta property=\"og:site_name\" content=\"The BMJ\" \/>\n<meta property=\"article:publisher\" content=\"https:\/\/www.facebook.com\/bmjdotcom\/\" \/>\n<meta property=\"article:published_time\" content=\"2012-10-04T09:47:59+00:00\" \/>\n<meta property=\"article:modified_time\" content=\"2012-10-04T10:54:01+00:00\" \/>\n<meta property=\"og:image\" content=\"https:\/\/blogs.bmj.com\/bmj\/files\/2012\/09\/pritpal_tamber2.jpg\" \/>\n<meta name=\"author\" content=\"BMJ\" \/>\n<meta name=\"twitter:card\" content=\"summary_large_image\" \/>\n<meta name=\"twitter:creator\" content=\"@bmj_latest\" \/>\n<meta name=\"twitter:site\" content=\"@bmj_latest\" \/>\n<meta name=\"twitter:label1\" content=\"Written by\" \/>\n\t<meta name=\"twitter:data1\" content=\"BMJ\" \/>\n\t<meta name=\"twitter:label2\" content=\"Est. reading time\" \/>\n\t<meta name=\"twitter:data2\" content=\"5 minutes\" \/>\n<script type=\"application\/ld+json\" class=\"yoast-schema-graph\">{\"@context\":\"https:\\\/\\\/schema.org\",\"@graph\":[{\"@type\":\"Article\",\"@id\":\"https:\\\/\\\/blogs.bmj.com\\\/bmj\\\/2012\\\/10\\\/04\\\/pritpal-s-tamber-how-my-local-ccg-disrespects-its-patients\\\/#article\",\"isPartOf\":{\"@id\":\"https:\\\/\\\/blogs.bmj.com\\\/bmj\\\/2012\\\/10\\\/04\\\/pritpal-s-tamber-how-my-local-ccg-disrespects-its-patients\\\/\"},\"author\":{\"name\":\"BMJ\",\"@id\":\"https:\\\/\\\/blogs.bmj.com\\\/bmj\\\/#\\\/schema\\\/person\\\/ba3da426ed20e8f1d933ca367d8216fe\"},\"headline\":\"Pritpal S Tamber: How my local CCG disrespects its patients\",\"datePublished\":\"2012-10-04T09:47:59+00:00\",\"dateModified\":\"2012-10-04T10:54:01+00:00\",\"mainEntityOfPage\":{\"@id\":\"https:\\\/\\\/blogs.bmj.com\\\/bmj\\\/2012\\\/10\\\/04\\\/pritpal-s-tamber-how-my-local-ccg-disrespects-its-patients\\\/\"},\"wordCount\":1000,\"commentCount\":3,\"publisher\":{\"@id\":\"https:\\\/\\\/blogs.bmj.com\\\/bmj\\\/#organization\"},\"image\":{\"@id\":\"https:\\\/\\\/blogs.bmj.com\\\/bmj\\\/2012\\\/10\\\/04\\\/pritpal-s-tamber-how-my-local-ccg-disrespects-its-patients\\\/#primaryimage\"},\"thumbnailUrl\":\"https:\\\/\\\/blogs.bmj.com\\\/bmj\\\/files\\\/2012\\\/09\\\/pritpal_tamber2.jpg\",\"articleSection\":[\"NHS\",\"Pritpal S Tamber\"],\"inLanguage\":\"en-US\",\"potentialAction\":[{\"@type\":\"CommentAction\",\"name\":\"Comment\",\"target\":[\"https:\\\/\\\/blogs.bmj.com\\\/bmj\\\/2012\\\/10\\\/04\\\/pritpal-s-tamber-how-my-local-ccg-disrespects-its-patients\\\/#respond\"]}]},{\"@type\":\"WebPage\",\"@id\":\"https:\\\/\\\/blogs.bmj.com\\\/bmj\\\/2012\\\/10\\\/04\\\/pritpal-s-tamber-how-my-local-ccg-disrespects-its-patients\\\/\",\"url\":\"https:\\\/\\\/blogs.bmj.com\\\/bmj\\\/2012\\\/10\\\/04\\\/pritpal-s-tamber-how-my-local-ccg-disrespects-its-patients\\\/\",\"name\":\"Pritpal S Tamber: How my local CCG disrespects its patients - The BMJ\",\"isPartOf\":{\"@id\":\"https:\\\/\\\/blogs.bmj.com\\\/bmj\\\/#website\"},\"primaryImageOfPage\":{\"@id\":\"https:\\\/\\\/blogs.bmj.com\\\/bmj\\\/2012\\\/10\\\/04\\\/pritpal-s-tamber-how-my-local-ccg-disrespects-its-patients\\\/#primaryimage\"},\"image\":{\"@id\":\"https:\\\/\\\/blogs.bmj.com\\\/bmj\\\/2012\\\/10\\\/04\\\/pritpal-s-tamber-how-my-local-ccg-disrespects-its-patients\\\/#primaryimage\"},\"thumbnailUrl\":\"https:\\\/\\\/blogs.bmj.com\\\/bmj\\\/files\\\/2012\\\/09\\\/pritpal_tamber2.jpg\",\"datePublished\":\"2012-10-04T09:47:59+00:00\",\"dateModified\":\"2012-10-04T10:54:01+00:00\",\"breadcrumb\":{\"@id\":\"https:\\\/\\\/blogs.bmj.com\\\/bmj\\\/2012\\\/10\\\/04\\\/pritpal-s-tamber-how-my-local-ccg-disrespects-its-patients\\\/#breadcrumb\"},\"inLanguage\":\"en-US\",\"potentialAction\":[{\"@type\":\"ReadAction\",\"target\":[\"https:\\\/\\\/blogs.bmj.com\\\/bmj\\\/2012\\\/10\\\/04\\\/pritpal-s-tamber-how-my-local-ccg-disrespects-its-patients\\\/\"]}]},{\"@type\":\"ImageObject\",\"inLanguage\":\"en-US\",\"@id\":\"https:\\\/\\\/blogs.bmj.com\\\/bmj\\\/2012\\\/10\\\/04\\\/pritpal-s-tamber-how-my-local-ccg-disrespects-its-patients\\\/#primaryimage\",\"url\":\"https:\\\/\\\/blogs.bmj.com\\\/bmj\\\/files\\\/2012\\\/09\\\/pritpal_tamber2.jpg\",\"contentUrl\":\"https:\\\/\\\/blogs.bmj.com\\\/bmj\\\/files\\\/2012\\\/09\\\/pritpal_tamber2.jpg\",\"width\":\"160\",\"height\":\"130\"},{\"@type\":\"BreadcrumbList\",\"@id\":\"https:\\\/\\\/blogs.bmj.com\\\/bmj\\\/2012\\\/10\\\/04\\\/pritpal-s-tamber-how-my-local-ccg-disrespects-its-patients\\\/#breadcrumb\",\"itemListElement\":[{\"@type\":\"ListItem\",\"position\":1,\"name\":\"Home\",\"item\":\"https:\\\/\\\/blogs.bmj.com\\\/bmj\\\/\"},{\"@type\":\"ListItem\",\"position\":2,\"name\":\"Pritpal S Tamber: How my local CCG disrespects its patients\"}]},{\"@type\":\"WebSite\",\"@id\":\"https:\\\/\\\/blogs.bmj.com\\\/bmj\\\/#website\",\"url\":\"https:\\\/\\\/blogs.bmj.com\\\/bmj\\\/\",\"name\":\"The BMJ\",\"description\":\"Helping doctors make better decisions.\",\"publisher\":{\"@id\":\"https:\\\/\\\/blogs.bmj.com\\\/bmj\\\/#organization\"},\"potentialAction\":[{\"@type\":\"SearchAction\",\"target\":{\"@type\":\"EntryPoint\",\"urlTemplate\":\"https:\\\/\\\/blogs.bmj.com\\\/bmj\\\/?s={search_term_string}\"},\"query-input\":{\"@type\":\"PropertyValueSpecification\",\"valueRequired\":true,\"valueName\":\"search_term_string\"}}],\"inLanguage\":\"en-US\"},{\"@type\":\"Organization\",\"@id\":\"https:\\\/\\\/blogs.bmj.com\\\/bmj\\\/#organization\",\"name\":\"The BMJ\",\"url\":\"https:\\\/\\\/blogs.bmj.com\\\/bmj\\\/\",\"logo\":{\"@type\":\"ImageObject\",\"inLanguage\":\"en-US\",\"@id\":\"https:\\\/\\\/blogs.bmj.com\\\/bmj\\\/#\\\/schema\\\/logo\\\/image\\\/\",\"url\":\"https:\\\/\\\/blogs.bmj.com\\\/bmj\\\/files\\\/2018\\\/05\\\/The-BMJ-logo.jpg\",\"contentUrl\":\"https:\\\/\\\/blogs.bmj.com\\\/bmj\\\/files\\\/2018\\\/05\\\/The-BMJ-logo.jpg\",\"width\":852,\"height\":568,\"caption\":\"The BMJ\"},\"image\":{\"@id\":\"https:\\\/\\\/blogs.bmj.com\\\/bmj\\\/#\\\/schema\\\/logo\\\/image\\\/\"},\"sameAs\":[\"https:\\\/\\\/www.facebook.com\\\/bmjdotcom\\\/\",\"https:\\\/\\\/x.com\\\/bmj_latest\"]},{\"@type\":\"Person\",\"@id\":\"https:\\\/\\\/blogs.bmj.com\\\/bmj\\\/#\\\/schema\\\/person\\\/ba3da426ed20e8f1d933ca367d8216fe\",\"name\":\"BMJ\",\"image\":{\"@type\":\"ImageObject\",\"inLanguage\":\"en-US\",\"@id\":\"https:\\\/\\\/secure.gravatar.com\\\/avatar\\\/b4d8f39281bcae118348a1c027347b8e53b82d42520e774a8b50dd9a6ac6c01d?s=96&d=mm&r=g\",\"url\":\"https:\\\/\\\/secure.gravatar.com\\\/avatar\\\/b4d8f39281bcae118348a1c027347b8e53b82d42520e774a8b50dd9a6ac6c01d?s=96&d=mm&r=g\",\"contentUrl\":\"https:\\\/\\\/secure.gravatar.com\\\/avatar\\\/b4d8f39281bcae118348a1c027347b8e53b82d42520e774a8b50dd9a6ac6c01d?s=96&d=mm&r=g\",\"caption\":\"BMJ\"},\"sameAs\":[\"https:\\\/\\\/blogs.bmj.com\\\/\"],\"url\":\"https:\\\/\\\/blogs.bmj.com\\\/bmj\\\/author\\\/admin\\\/\"}]}<\/script>\n<!-- \/ Yoast SEO plugin. -->","yoast_head_json":{"title":"Pritpal S Tamber: How my local CCG disrespects its patients  - The BMJ","robots":{"index":"index","follow":"follow","max-snippet":"max-snippet:-1","max-image-preview":"max-image-preview:large","max-video-preview":"max-video-preview:-1"},"canonical":"https:\/\/blogs.bmj.com\/bmj\/2012\/10\/04\/pritpal-s-tamber-how-my-local-ccg-disrespects-its-patients\/","og_locale":"en_US","og_type":"article","og_title":"Pritpal S Tamber: How my local CCG disrespects its patients  - The BMJ","og_description":"I went to my local \u201cpatient participation\u201d group meeting last week. My local practice said they were seeking feedback on their commissioning plans and suggested I attend. This was quite [...]More...","og_url":"https:\/\/blogs.bmj.com\/bmj\/2012\/10\/04\/pritpal-s-tamber-how-my-local-ccg-disrespects-its-patients\/","og_site_name":"The BMJ","article_publisher":"https:\/\/www.facebook.com\/bmjdotcom\/","article_published_time":"2012-10-04T09:47:59+00:00","article_modified_time":"2012-10-04T10:54:01+00:00","og_image":[{"url":"https:\/\/blogs.bmj.com\/bmj\/files\/2012\/09\/pritpal_tamber2.jpg","type":"","width":"","height":""}],"author":"BMJ","twitter_card":"summary_large_image","twitter_creator":"@bmj_latest","twitter_site":"@bmj_latest","twitter_misc":{"Written by":"BMJ","Est. reading time":"5 minutes"},"schema":{"@context":"https:\/\/schema.org","@graph":[{"@type":"Article","@id":"https:\/\/blogs.bmj.com\/bmj\/2012\/10\/04\/pritpal-s-tamber-how-my-local-ccg-disrespects-its-patients\/#article","isPartOf":{"@id":"https:\/\/blogs.bmj.com\/bmj\/2012\/10\/04\/pritpal-s-tamber-how-my-local-ccg-disrespects-its-patients\/"},"author":{"name":"BMJ","@id":"https:\/\/blogs.bmj.com\/bmj\/#\/schema\/person\/ba3da426ed20e8f1d933ca367d8216fe"},"headline":"Pritpal S Tamber: How my local CCG disrespects its patients","datePublished":"2012-10-04T09:47:59+00:00","dateModified":"2012-10-04T10:54:01+00:00","mainEntityOfPage":{"@id":"https:\/\/blogs.bmj.com\/bmj\/2012\/10\/04\/pritpal-s-tamber-how-my-local-ccg-disrespects-its-patients\/"},"wordCount":1000,"commentCount":3,"publisher":{"@id":"https:\/\/blogs.bmj.com\/bmj\/#organization"},"image":{"@id":"https:\/\/blogs.bmj.com\/bmj\/2012\/10\/04\/pritpal-s-tamber-how-my-local-ccg-disrespects-its-patients\/#primaryimage"},"thumbnailUrl":"https:\/\/blogs.bmj.com\/bmj\/files\/2012\/09\/pritpal_tamber2.jpg","articleSection":["NHS","Pritpal S Tamber"],"inLanguage":"en-US","potentialAction":[{"@type":"CommentAction","name":"Comment","target":["https:\/\/blogs.bmj.com\/bmj\/2012\/10\/04\/pritpal-s-tamber-how-my-local-ccg-disrespects-its-patients\/#respond"]}]},{"@type":"WebPage","@id":"https:\/\/blogs.bmj.com\/bmj\/2012\/10\/04\/pritpal-s-tamber-how-my-local-ccg-disrespects-its-patients\/","url":"https:\/\/blogs.bmj.com\/bmj\/2012\/10\/04\/pritpal-s-tamber-how-my-local-ccg-disrespects-its-patients\/","name":"Pritpal S Tamber: How my local CCG disrespects its patients - The BMJ","isPartOf":{"@id":"https:\/\/blogs.bmj.com\/bmj\/#website"},"primaryImageOfPage":{"@id":"https:\/\/blogs.bmj.com\/bmj\/2012\/10\/04\/pritpal-s-tamber-how-my-local-ccg-disrespects-its-patients\/#primaryimage"},"image":{"@id":"https:\/\/blogs.bmj.com\/bmj\/2012\/10\/04\/pritpal-s-tamber-how-my-local-ccg-disrespects-its-patients\/#primaryimage"},"thumbnailUrl":"https:\/\/blogs.bmj.com\/bmj\/files\/2012\/09\/pritpal_tamber2.jpg","datePublished":"2012-10-04T09:47:59+00:00","dateModified":"2012-10-04T10:54:01+00:00","breadcrumb":{"@id":"https:\/\/blogs.bmj.com\/bmj\/2012\/10\/04\/pritpal-s-tamber-how-my-local-ccg-disrespects-its-patients\/#breadcrumb"},"inLanguage":"en-US","potentialAction":[{"@type":"ReadAction","target":["https:\/\/blogs.bmj.com\/bmj\/2012\/10\/04\/pritpal-s-tamber-how-my-local-ccg-disrespects-its-patients\/"]}]},{"@type":"ImageObject","inLanguage":"en-US","@id":"https:\/\/blogs.bmj.com\/bmj\/2012\/10\/04\/pritpal-s-tamber-how-my-local-ccg-disrespects-its-patients\/#primaryimage","url":"https:\/\/blogs.bmj.com\/bmj\/files\/2012\/09\/pritpal_tamber2.jpg","contentUrl":"https:\/\/blogs.bmj.com\/bmj\/files\/2012\/09\/pritpal_tamber2.jpg","width":"160","height":"130"},{"@type":"BreadcrumbList","@id":"https:\/\/blogs.bmj.com\/bmj\/2012\/10\/04\/pritpal-s-tamber-how-my-local-ccg-disrespects-its-patients\/#breadcrumb","itemListElement":[{"@type":"ListItem","position":1,"name":"Home","item":"https:\/\/blogs.bmj.com\/bmj\/"},{"@type":"ListItem","position":2,"name":"Pritpal S Tamber: How my local CCG disrespects its patients"}]},{"@type":"WebSite","@id":"https:\/\/blogs.bmj.com\/bmj\/#website","url":"https:\/\/blogs.bmj.com\/bmj\/","name":"The BMJ","description":"Helping doctors make better decisions.","publisher":{"@id":"https:\/\/blogs.bmj.com\/bmj\/#organization"},"potentialAction":[{"@type":"SearchAction","target":{"@type":"EntryPoint","urlTemplate":"https:\/\/blogs.bmj.com\/bmj\/?s={search_term_string}"},"query-input":{"@type":"PropertyValueSpecification","valueRequired":true,"valueName":"search_term_string"}}],"inLanguage":"en-US"},{"@type":"Organization","@id":"https:\/\/blogs.bmj.com\/bmj\/#organization","name":"The BMJ","url":"https:\/\/blogs.bmj.com\/bmj\/","logo":{"@type":"ImageObject","inLanguage":"en-US","@id":"https:\/\/blogs.bmj.com\/bmj\/#\/schema\/logo\/image\/","url":"https:\/\/blogs.bmj.com\/bmj\/files\/2018\/05\/The-BMJ-logo.jpg","contentUrl":"https:\/\/blogs.bmj.com\/bmj\/files\/2018\/05\/The-BMJ-logo.jpg","width":852,"height":568,"caption":"The BMJ"},"image":{"@id":"https:\/\/blogs.bmj.com\/bmj\/#\/schema\/logo\/image\/"},"sameAs":["https:\/\/www.facebook.com\/bmjdotcom\/","https:\/\/x.com\/bmj_latest"]},{"@type":"Person","@id":"https:\/\/blogs.bmj.com\/bmj\/#\/schema\/person\/ba3da426ed20e8f1d933ca367d8216fe","name":"BMJ","image":{"@type":"ImageObject","inLanguage":"en-US","@id":"https:\/\/secure.gravatar.com\/avatar\/b4d8f39281bcae118348a1c027347b8e53b82d42520e774a8b50dd9a6ac6c01d?s=96&d=mm&r=g","url":"https:\/\/secure.gravatar.com\/avatar\/b4d8f39281bcae118348a1c027347b8e53b82d42520e774a8b50dd9a6ac6c01d?s=96&d=mm&r=g","contentUrl":"https:\/\/secure.gravatar.com\/avatar\/b4d8f39281bcae118348a1c027347b8e53b82d42520e774a8b50dd9a6ac6c01d?s=96&d=mm&r=g","caption":"BMJ"},"sameAs":["https:\/\/blogs.bmj.com\/"],"url":"https:\/\/blogs.bmj.com\/bmj\/author\/admin\/"}]}},"_links":{"self":[{"href":"https:\/\/blogs.bmj.com\/bmj\/wp-json\/wp\/v2\/posts\/21077","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/blogs.bmj.com\/bmj\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/blogs.bmj.com\/bmj\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/blogs.bmj.com\/bmj\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/blogs.bmj.com\/bmj\/wp-json\/wp\/v2\/comments?post=21077"}],"version-history":[{"count":0,"href":"https:\/\/blogs.bmj.com\/bmj\/wp-json\/wp\/v2\/posts\/21077\/revisions"}],"wp:attachment":[{"href":"https:\/\/blogs.bmj.com\/bmj\/wp-json\/wp\/v2\/media?parent=21077"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/blogs.bmj.com\/bmj\/wp-json\/wp\/v2\/categories?post=21077"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/blogs.bmj.com\/bmj\/wp-json\/wp\/v2\/tags?post=21077"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}