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Summer of confusion in store over MMR

Dr Hilary Entwistle is backing plans that could see some of her patients given indicative budgets of up to £1,000 to help manage their chronic conditions.

The plans, part of an initiative by Lewisham PCT, south-east London, are designed to prevent hospital admissions by allowing patients, in consultation with case managers, to buy unconventional equipment to help ease symptoms and improve quality of life.

Dr Entwistle, a GP in Catford, who was involved in identifying patients with the most admissions, said examples could include buying a reclining chair to ease leg swellings, or air conditioning to help COPD.

'It's a project we would hope to use within practice-based commissioning as a way of preventing recurrent admissions,' she said.

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