Intended for healthcare professionals

Letters Productivity challenges

Social determinants of health are comorbidities

BMJ 2012; 345 doi: (Published 16 July 2012) Cite this as: BMJ 2012;345:e4742
  1. Jonathon Peter Tomlinson, general practitioner1
  1. 1Lawson Practice, London N1 5HZ, UK
  1. jonathon.tomlinson{at}

The distinction between health and social care is spurious.1 Patients are stuck in hospital because social care is insufficient. Patients are attending my GP surgery to discuss cuts to incapacity and other benefits. When people are distressed, …

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