RT Journal Article SR Electronic T1 The report of the Future Hospital Commission: first steps down the road to change? JF Future Hospital Journal JO Future Hosp J FD Royal College of Physicians SP 13 OP 15 DO 10.7861/futurehosp.14.006 VO 1 IS 1 A1 Edwards, Nigel YR 2014 UL http://www.rcpjournals.org/content/1/1/13.abstract AB The Future Hospital Commission represents a bold and imaginative exploration of some new ways of providing medicine more effectively. It is however, the beginning of a discussion not an endpoint. There are a number of other major changes that will be needed to support the proposals. There will be changes in the role of specialists particularly those involved in chronic disease. Primary and community care will need to become more systematic and consistent and be able to reliably offer a much more extended set of services. There is also a need to look at accident and emergency services and the relationship these have to acute medicine. These new models require development by front line clinicians rather than design by policy makers.