Integration only through whole system change
With the proposed cut to general practice funding and minimum debate around specialist and hospital costs, there is an urgent need to re-examine our healthcare system.
Without continuity of care throughout the whole system, care is unlikely to be clinically effective, safe, personalised or cost-effective.
Our healthcare system encourages the use of hospitals and every part of our healthcare system is under duress. Doctors are at the epicentre, and require a mutual understanding of referral pathways, overdiagnosis, over investigation, diagnosis creep and