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Letters Cultural change in the NHS

Better training is key

BMJ 2013; 346 doi: (Published 25 April 2013) Cite this as: BMJ 2013;346:f2504
  1. Paul V Knight, president1
  1. 1British Geriatrics Society, London EC1M 4DN, UK
  1. president{at}

Davis and Mannion describe the culture of the NHS as complex, which may mean that no easy fix could be applied to remedy the problems outlined in the Francis report.1

But one piece of unifying culture, well described by Francis, is that of a disregard for frail older people. Staff are seemingly poorly resourced and trained to deal with …

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