Emergency care in general practice

doi:10.1136/bmj.310.6989.1268a

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P D Thomas

General practitioner Gipping Valley Practice, Barham, Ipswich IP6 0AS

EDITOR,—I am alarmed by the number of authors who consider that emergency medicine and the out of hours service are entirely separate from doctors' obligations to their patients. It is a sad indictment of current standards if the pressures of his work as an NHS general practitioner prevent Andrew Dicker from attending and treating acutely ill patients.1 General practitioners seem to have relinquished their raison d'etre to other providers, whether they be paramedics, midwives, …