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Cutting follow-up care is a win-win for hospitals

With regard to last week's story about hospitals cutting follow-up, this has been happening in my area for a while.

I don't think hospitals care too much about readmissions, although they talk about it.

Some patients won't return and that helps them. The ones that do, as an emergency admission, mean another event to tot up and bill the PCT for. So it is a win-win situation for the hospital.

If there was a mechanism to ensure that a readmission was considered the same episode as the original admission under PbR then it would address the financial side of the equation.

But it would do nothing for the angst caused to patients and the primary care team who are not always equipped to deal with all the complexities.

Dr Rupen Kulkarni, Redditch, Worcestershire

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