Letters Doctors and nurses

Multimorbidity may be stumbling block

BMJ 2008; 337 doi: https://doi.org/10.1136/bmj.a1975 (Published 06 October 2008) Cite this as: BMJ 2008;337:a1975
  1. Carmel M Martin, associate professor, family medicine
  1. 1Northern Ontario School of Medicine, 238 Bruyere Street, Ottawa, K1N 5E3, Canada
  1. carmelmarymartin{at}gmail.com

    Sadly, Sibbald is probably right.1 Primary care in England is being reduced to disease management, protocol based, and targets funded services that are increasingly privately outsourced. This is an entirely appropriate environment for nurse led management. General practitioners’ roles and responsibilities of the previously very successful model of general practice have been gradually eroded over the recent decades, whereas nurse specialism in …

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