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The personalisation of the British National Health Service: empowering patients or exacerbating inequality?

In the NHS Next Stage Review, a report by Lord Ara Darzi commissioned by the Department of Health, it has been declared that, from April 2010, every healthcare provider working for or on behalf of the National Health Service (NHS) will be required to publish performance data in online 'Quality Accounts' (1,2); information relating to both clinical outcomes and patient satisfaction will be displayed on the NHS website, allowing patients to make an informed choice about where they are treated. However, not all patients are capable of exercising this choice. In the same manner as other market-based NHS reforms aimed at empowering patients, choice seems likely to exacerbate inequality and thus once again threaten the viability of the NHS as a collectivist service (3,4).