Who is responsible for quality of acute medical care?

BMJ 1996; 312 doi: https://doi.org/10.1136/bmj.312.7028.443b (Published 17 February 1996) Cite this as: BMJ 1996;312:443
  1. B L Taylor,
  2. S N Pilkington,
  3. G B Smith,
  4. P J McQuillan
  1. Consultant in intensive care and anaesthesia Senior registrar in anaesthetics Director, intensive therapy services Consultant in intensive care and anaesthesia Queen Alexandra Hospital, Cosham, Portsmouth PO6 3LY

    EDITOR,—The attitudes of consultant physicians to the Calman proposals provide important information about the organisation of acute medical care in Britain.1 Recently, in response to such audits as the national confidential enquiry into perioperative deaths and the confidential enquiry into maternal deaths, many acute specialties have seen an increase in consultants' involvement in emergency care. General medical practice has escaped such scrutiny, and this together with the tendency to subspecialisation has apparently led to a system in which trainees provide most …

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