Personal Views

Painful decisions

BMJ 1998; 316 doi: (Published 04 April 1998) Cite this as: BMJ 1998;316:1099
  1. Alice Bullen
  1. consultant physician, Nuneaton

    Tonight I have been reading a two page spread in my local newspaper about the threatened closure of the small community hospital that I work in. I was prompted to write by the comments of some of my patients and their relatives.

    I was appointed a consultant physician in a district general hospital 16 years ago. At that time the hospital abolished geriatric medicine as a separate specialty and all the general physicians agreed to implement a scheme of medical care where age was not a determining factor. We all had equal access to beds including rehabilitation beds in the hospital and this has worked well. Three of us, however, also have access to some beds in a nearby 44 bedded community hospital which over the years has treated many …

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