Views & Reviews From the Frontline

The dying deserve better from GPs

BMJ 2013; 347 doi: (Published 17 July 2013) Cite this as: BMJ 2013;347:f4595
  1. Des Spence, general practitioner, Glasgow
  1. destwo{at}

Modern medicine is overcomplicated and pseudoscientific. We talk obsessively of structures and organisations, but in truth quality of care is simple. Being a doctor is about stepping into the breach; quality of care is about taking responsibility.The current problems in the NHS stem from a failure of accountability, leadership, and commitment—and an unwillingness to get involved. This explains the poverty of end of life care and the now discredited Liverpool care pathway.1

I have witnessed too many undignified, distant, and fear filled deaths. Patients should die with dignity, ideally at home …

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