Intended for healthcare professionals

Views And Reviews Acute Perspective

David Oliver: Is hospital avoidance an elusive holy grail?

BMJ 2019; 364 doi: (Published 19 February 2019) Cite this as: BMJ 2019;364:l746
  1. David Oliver, consultant in geriatrics and acute general medicine
  1. Berkshire
  1. davidoliver372{at}
    Follow David on Twitter: @mancunianmedic

The first weeks of 2019 saw NHS England publish the long term plan for the NHS,1 the new five year GP contract framework,2 and the plan for universal personalised care.3 They all include an overarching idea that we should be trying to prevent people attending or being admitted to hospital.

The GP contract and the promised additional £4.5bn for primary and community services are linked to a requirement that the new GP networks will be financially incentivised to cut emergency department attendances and hospital admissions. The NHS plan aims to reduce acute hospital bed use …

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