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Letters GP fines for avoidable emergency admissions

Rise in emergency admissions is multifactorial

BMJ 2013; 346 doi: (Published 08 April 2013) Cite this as: BMJ 2013;346:f2144
  1. L Sam Lewis, general practitioner trainer1
  1. 1Newport Surgery, Newport SA42 0TJ, UK
  1. sam{at}

Currently I have “no competing interests,” but I will have if this draconian proposal to fine me if more of my patients become “avoidable emergency admissions” is implemented. Nagpaul makes it clear that the proposal is ethically questionable and legally suspect.1 Despite the headline, McShane does not favour fining GPs but suggests “Financial incentives …

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