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Letter

Multimorbidity and inverse care

We need a system that accounts for multimorbidity at practice level

BMJ 2012; 345 doi: http://dx.doi.org/10.1136/bmj.e5464 (Published 21 August 2012)
Cite this as: BMJ 2012;345:e5464

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  1. David J Shepherd, general practitioner trainer1
  1. 1Saffron Group Practice, Leicester LE2 6UL, UK
  1. daveshep{at}nhs.net

As a GP who for 20 years has served a population that is within the 5% most deprived in the country, Mercer and colleagues’ analysis of multimorbidity and the inverse care law matches my experience exactly.1 I systematically ration my time and persistently feel that I am (out of necessity) short changing my patients of professional input.

The current obsession of clinical commissioning groups with …

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