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Views & Reviews From the Frontline

Out of hours care: a call for continuity

BMJ 2012; 344 doi: (Published 11 January 2012) Cite this as: BMJ 2012;344:e279
  1. Des Spence, general practitioner, Glasgow
  1. destwo{at}

Despite the raging financial storm of 2008 and the tens of billions of pounds used to prop up the banks, nothing much changed in the NHS. But the cold wind of reality now blows through the public sector—cuts are coming. The last government engaged in political health grandstanding, producing some foolish (if not frankly stupid) ideas. Initiatives like walk in centres, NHS Direct call centres, and Darzi centres all largely duplicated existing services. They were wildly expensive too. Compared with general practice consultations, walk in centres cost twice as …

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