How to bring about changes

doi:10.1136/bmj.39212.705313.3A

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Paul Whitby, clinical psychologist

Green Lane Hospital, Devizes SN10 5DS

pwa{at}btinternet.com

McMurdo and Witham bring to mind the poor level of care that so many elderly people have to tolerate when they find themselves in residential care.1 The question is how to alter the institutional system that so often seems to work against the interests of the individual.

We …