Service can't cope with troughs in demand, let alone peaks

doi:10.1136/bmj.312.7044.1476a

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Roop Kishen

Consultant in intensive care medicine and anaesthesia Intensive Care Unit Hope Hospital, Salford M6 8HD

EDITOR,—David Ryan correctly points out that “moving critically ill patients between hospitals has become a far from ideal way of life.”1 Politicians have only recently taken note of this, but in fact this situation has existed for as long as I have been a consultant (11 years) working in an intensive care unit in a large teaching hospital.

Recent deaths of critically ill patients who were being moved between hospitals …