Put the brakes on advanced access
Every so often an enthusiast writes an article extolling the virtues of advanced access and Dr Hugh Sturgess made an excellent case for it in his succinct article (Features, February 9). The problem is that the initial benefits begin to be outweighed by the accumulating disadvantages.
Advanced access originated in the USA but because patients pay upfront there is a brake on the system. Our system had no brakes.
Dr Sturgess mentioned contingency plans I would suggest the main one is to expect and plan for the provision of ever-increasing capacity.
Dr RA Hutton