The dying deserve better from GPsBMJ 2013; 347 doi: https://doi.org/10.1136/bmj.f4595 (Published 17 July 2013) Cite this as: BMJ 2013;347:f4595
- Des Spence, general practitioner, Glasgow
Modern medicine is overcomplicated and pseudoscientific. We talk obsessively of structures and organisations, but in truth quality of care is simple. Being a doctor is about stepping into the breach; quality of care is about taking responsibility.The current problems in the NHS stem from a failure of accountability, leadership, and commitment—and an unwillingness to get involved. This explains the poverty of end of life care and the now discredited Liverpool care pathway.1
I have witnessed too many undignified, distant, and fear filled deaths. Patients should die with dignity, ideally at home …
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