Art of “holding patient care in general practice” is key to survival of the NHS

The BMJ Pub Date : 2025-03-24 DOI:10.1136/bmj.r546
Max Cooper, Carl Fernandes, Jason Heath
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Abstract

Data on hospital beds are important1 but must not eclipse upstream priorities for tackling pressures in the NHS. Strengthening general practice is crucial. This calls for medical educators and NHS leaders who value and promote generalist skills—in particular, the art of “holding patient care in general practice.” “Holding” necessitates meeting patients’ health needs as far as possible entirely within the primary care setting and avoiding premature or unnecessary secondary care involvement or specialist investigations. Community presentations such as …
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“在一般实践中保持病人护理”的艺术是NHS生存的关键
医院病床的数据很重要,但绝不能掩盖解决NHS压力的上游优先事项。加强一般做法至关重要。这需要重视和促进通才技能的医学教育者和NHS领导者——特别是“在一般实践中保持病人护理”的艺术。“保持”需要尽可能完全在初级保健环境中满足患者的健康需求,并避免过早或不必要的二级保健介入或专家调查。社区演讲,如……
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