Interesting. So back to Atenolol.
Whilst mortality is an important "end-point", and since there are no significant differences between beta-blockers in that respect, what about quality of life comparing the beta-blockers.
Why can't GP's collectively tell the Government where to get off? Threaten to disengage from all NHS contracts and bill the NHS for the care they provide. We are self-employed after all.
Many of us have had threats from the PCT's re withdrawal of PMS contracts. Well, why not tell them the above? Are you strong enough? Collectively you could be very powerful politically. Has the BMA got its orchids in place?
I packed in GP having been a principle for a very long time. I would have liked to have stayed in the practice but, as above, I got fed-up to the teeth with the constant change imposed from above for less and less income.
So I packed it in and now work in OOH. Roughly the same money for much less work and no admin or NHS cr*p! Good luck to you all. I really feel that a strong and radical approach to the Government is required but, collectively, doctors seem rather weak.
I have been working with Harmoni for the past year as an OOH GP. The staff with whom I have had contact over that year have impressed me with a genuine feeling that they want to make the service as good as possible for our patients.
My only worry for the future is that cover is not spread too thinly in order to save money. This will not only endanger our patients but also the doctors who are doing their best to provide the service.