Table Box 3  .

Barriers to change

‘We will never go back to that state where there was unrivalled trust in medicine’

Nursing and Midwifery Council Officer

‘Health professionals have changed very little, even after Bristol. Doctors and nurses, their agenda is to hold on to their power base’

User group, senior officer

‘We can talk about how to provide a more patient‐ centred service, but then I have to get through a clinic bursting at the seams with patient appointments, and the best I can do is simply get through them’

Senior officer, Royal College

‘We have about 25 000 asylum seekers, we have tuberculosis levels which are the same as Ethiopia, we are 150 General Practitioners down – patient‐ centred care in the east of London, it's a laugh. Basically it's just crisis management’

Medical consultant

‘Patient‐centred care is very sporadic when you are dealing with individuals who are disempowered in every other aspect of their lives’

Midwife

‘How can we provide patient‐centred care if we cannot even speak directly to our patients'?

Nurse teacher