Rising emergency admissions

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Abstract
The National Association of Health Authorities and Trusts suggests that the probable causes of the increase include more detected illness, raised expectations of general practitioners (especially fundholders), premature discharge, and worries over litigation. Others point accusingly to variations in general practitioners' referral rates; Acheson was irritated in 1985 that “a phenomenon so gross can continue to defy analysis.”3 Fundholders are accused of protecting budgets, although they generally do not have to pay for emergency care.