Intended for healthcare professionals

Letters Reducing emergency admissions from care homes

Admissions from care homes are a symptom of bad policy leadership

BMJ 2019; 367 doi: (Published 26 November 2019) Cite this as: BMJ 2019;367:l6604
  1. Clive E Bowman, honorary visiting professor
  1. School of Health Sciences, City, University of London, London EC1R 1UW, UK
  1. bowmanclive{at}

Hospital admissions from care homes1 are often due to a clinician being unable or unavailable to “do something,” such as make the difficult decision that admission would be futile. The PEACH study joins an increasing litany of well crafted studies identifying the potential for supportive interventions.2 These generally ignore the realities of staff availability.

Care home residents do not fit the …

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