College calls for major overhaul of the delivery of care

BMJ 2013; 347 doi: (Published 12 September 2013) Cite this as: BMJ 2013;347:f5507
  1. Nigel Hawkes
  1. 1London

The way hospital doctors work needs to be transformed, to repair the types of failure of care revealed by a series of reports over the past few years, the Royal College of Physicians has said.

It calls for barriers between hospital and community care to be abolished. The idea that hospitals are there to provide a brief period of acute care before discharging cured patients back to the community is no longer valid, particularly in the case of frail, elderly patients and those with dementia, says a new report from the college’s Future Hospital Commission.1

It calls for seamless care without physical or professional barriers, delivered wherever is best for the patient, not the medical team. Care should come to the …

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