Intended for healthcare professionals

Letters Multimorbidity and inverse care

We need a system that accounts for multimorbidity at practice level

BMJ 2012; 345 doi: (Published 21 August 2012) Cite this as: BMJ 2012;345:e5464
  1. David J Shepherd, general practitioner trainer1
  1. 1Saffron Group Practice, Leicester LE2 6UL, UK
  1. daveshep{at}

As a GP who for 20 years has served a population that is within the 5% most deprived in the country, Mercer and colleagues’ analysis of multimorbidity and the inverse care law matches my experience exactly.1 I systematically ration my time and persistently feel that I am (out of necessity) short changing my patients of professional input.

The current obsession of clinical commissioning groups with …

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