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BMJ 2008;336:1145 (24 May), doi:10.1136/bmj.39583.696655.3A
| The first 150 words of the full text of this article appear below. |
When I read the article by Finch,1 I realised that our trust, and many other rural trusts, has been running polyclinics for decades—except we call them community hospitals. We run 11 of these in small Dorset market towns. They are usually within a few hundred metresof the local general practice, and the general practitioners are variously involved from managing beds, doing minor operations lists, gastroscopy sessions, etc. Consultants from all the local hospitals run clinics in the community hospitals, and surgeons perform a sizeable number of operations there. Several of the hospitals have small mental health inpatient unitswith community mental health units based there. The hospitals provide physiotherapy, occupational therapy, and a range of diagnostic services. Many elderly patients can be investigated or, if necessary, admitted which prevents admissions to acute hospitals and the small size allows innovative joint working between old age medicine and psychiatry.
Perhaps the most important
Kit Stone, consultant psychiatrist and medical director
1 Blandford Community Hospital, Blandford Forum, Dorset DT11 7DD
Kit.Stone@dorset-pct.nhs.uk
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