Intended for healthcare professionals

Letters Challenge of multimorbidity

Managing multimorbidity: all doctors started as generalists

BMJ 2020; 368 doi: (Published 27 February 2020) Cite this as: BMJ 2020;368:m733
  1. Hamish Duncan, GP
  1. Pinhoe Surgery, Exeter EX1 3SY, UK
  1. hamishduncan101{at}

Gandhi provides a fitting warning of the dangers facing a specialised NHS: “The expert knows more and more about less and less until he knows everything about nothing.”

This will be obvious to any junior doctor of the past 30 years. I have seen a cardiology patient with stable asthma being delayed at discharge for an unnecessary respiratory review; inpatients with conjunctivitis having an ophthalmology review …

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