title: Letter.
abstract: NHS Direct consistently receives patient satisfaction ratings of 90 per cent or higher and we are determined to maintain this level of service (letters July 20). We believe that the savings we need to make at NHS Direct can be done effectively without jeopardising the quality and clinical effectiveness of our services.
authors.affiliation: NHS Direct.
authors.forename: Tricia
authors.initials: T
authors.lastname: Hamilton