Intended for healthcare professionals

Letters An unsafe ward

Fragmentation of basic and nursing care may be to blame for unsafe wards

BMJ 2013; 346 doi: (Published 02 April 2013) Cite this as: BMJ 2013;346:f1949
  1. Judy Shakespeare, retired general practitioner1
  1. 1Oxford, UK
  1. judy.shakespeare{at}

I have received more than 30 supportive comments on my article about the death of my father.1 Many people were not surprised by my experiences and described their own sad stories. This suggests that poor basic care for older patients is endemic within the NHS, with mid-Staffs just a scapegoat for a widespread institutional malaise.

Food, water, cleanliness, and simple …

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