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"...and I can see a blended role developing where current A&E consultants and current acute physicians merge together to create the new acute emergency physicians." Prof Sir George Alberti in Hospital Doctor 26th September. What on earth does this mean? It sounds like "all those general physicians who dont want to do any acute receiving work please take one step back". If there was any sense to the world, John Heyworth would not be advising the 'acute care tsar', he would be it! More worried than normal. Phil Munro A&E Glasgow