Smaller acute general hospitals, especially those in remote and rural locations, provide vital
services to their populations who might otherwise struggle to access safe and effective …

Executive summary There is an urgent need to create sustainable models for acute
medicine in smaller hospitals. Too often, the knee-jerk reaction has been to try to close or …

In the NHS, training occurs in nearly all our hospitals, and this is part of the NHS service
model. As the shortage of doctors is increasingly recognised, so has the pull from remote …

Changing population demographics and needs are resulting in a continual rise in acute
medical admissions. This review draws on the observations of the NHS GIRFT programme …

In 2003, the Specialist Training Authority recognised acute medicine as a subspecialty of
general internal medicine (GIM) for the purpose of structuring training for the future acute …

Optimal training of the future workforce is essential if we are to deliver effective healthcare in
all situations and circumstances. Doctors will need to have the appropriate knowledge and …

The acute hospital system in the NHS is in crisis, with the rising demands of treating elderly
comorbid patients and limited financial and workforce resources. An increase in the …

An innovative team approach and integration of care across sectors, including general
practices, community health services, allied health professionals and hospitals, can deliver …

Welcome to the October edition of FHJ of 2018. Since I last wrote we have seen a change in
leadership, both at the RCP and in the cabinet. Our new secretary of state is clearly a man …

This paper outlines the challenges facing the NHS particularly over the next decade and
outlines some potential solutions. A better policy cocktail to encourage more coordinated …