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We need to recognise that to deliver care to the clincial standards hospitals will need to reorganise and some will have to close .
This will be uncomfortable ..but we are delivering an Edwardian model of health care which makes hospital care essential and claiming to be better .
The bar in General Practice needs to be raised and all providers need to understand that we are all responsible to patient care and that the model of health care needs to change. All providers will need to undergo a painful recognition that they cannot continue to protect their self interst .