Role of primary care in improvement

doi:10.1136/bmj.39212.702708.3A

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Gillie E Evans, general practitioner

Jenner Health Centre, Whittlesey, Cambridgeshire PE7 1EJ

gillie.evans{at}nhs.net

McMurdo and Witham emphasise the role of secondary care in supporting primary care teams and care home staff in providing good quality care for older people in nursing and residential homes.1 As a general practitioner with responsibility for 50 patients with dementia in a specialist nursing home, I recognise that practical steps taken in primary care can have …