lns:xs="http://www.w3.org/2001/xmlSchema" xmlns:fn="http://www.w3.org/2005/xpath-functions" xmlns:xlink="http://www.w3.org/1999/xlink" xmlns:util="http://dtd.nlm.nih.gov/xsl/util" xmlns:fo="http://www.w3.org/1999/XSL/Format" xmlns:mml="http://www.w3.org/1998/Math/MathML">Timely concern by general practitioners in the community keeps children out of hospital and provides better continuity of care. Yet in the UK access to primary mind has diminished since 2004 when changes in general practitioners' contracts enabled them to ‘opt out’ of providing out-of-hours care and since then unplanned pediatric hospital admission rates have escalated particularly through crisis departments. We hypothesised that any increase in isolated short stay admissions for childhood sickness might reflect failure to manage these cases in the community through a 10 year times spanning these changes.

lns:xs="http://www.w3.org/2001/xmlSchema" xmlns:fn="http://www.w3.org/2005/xpath-functions" xmlns:xlink="http://www.w3.org/1999/xlink" xmlns:util="http://dtd.nlm.nih.gov/xsl/util" xmlns:fo="http://www.w3.org/1999/XSL/Format" xmlns:mml="http://www.w3.org/1998/Math/MathML">We conducted a population based time trends study of major causes of hospital admission in children