Intended for healthcare professionals

Letters Pressure on hospitals

Reductions in specialist chronic illness management fuel emergency hospital admissions

BMJ 2012; 345 doi: (Published 02 October 2012) Cite this as: BMJ 2012;345:e6581
  1. Claire Hilton, old age psychiatrist1
  1. 1Central and North West London NHS Foundation Trust, Harrow HA3 5QX, UK
  1. claire.hilton{at}

A report by the Royal College of Physicians identified a 37% increase in emergency hospital admissions in the past decade.1

The report suggests several contributing factors, including changing demographics. However, such a large increase cannot be accounted for solely by increased numbers of older people. It might, however, be related …

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