What is intermediate care?: A flawed substitute for rehabilitation in the United Kingdom

doi:10.1136/bmj.329.7467.686-b

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Andrew O Frank (Andrew.frank1@btinternet.com), consultant physician in rehabilitation medicine and rheumatology

Northwick Park Hospital and Harrow Primary Care Trust, Harrow HA1 3UJ

EDITOR—In asking what is intermediate care Melis et al point out one major conceptual error in the United Kingdom's version: it aims at relieving an administrative problem—namely, excessive bed occupancy.1 They did not deal with the patient's perspective. To achieve change four issues need to be addressed, in sequence. What is needed? How can that …