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I read Clare Gerada’s article in the BJGP November issue1 with some surprise. I had to read to her last paragraph to find areas of agreement with her. I do believe that continuity, accessibility, caring, and the coordination of this matter to patients.I do not believe the current NHS achieves this well. There are many breaks in continuity throughout the system: within GP surgeries; between GPs and other primary healthcare team members; between GPs and secondary care services; and between health and social care. Access to care is reasonable, but it could be better. Coordination of care could be better at all levels across the NHS. Why are patients sent home from hospital wondering when their outpatient appointment or …

From patient advocate to gatekeeper: understanding the effects of the NHS reforms