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A better deal from 'new fundholding'?

When I first read your article about terminations (News, October 18) I was speechless for 10 minutes, something my staff will tell you is very unusual!

It wasn't April 1 so my conclusion is that the Department of Health has finally flipped! However, I now understand why the IUCD fitting course I have to go on includes teaching me how to do cervical blocks. Sorry, I won't be doing terminations in the surgery however much the Government says it will pay me.

It is inappropriate, dangerous and anyhow I don't have any spare time.

Dr Diana Lowry

Epping, Essex

The GP's responsibility and motivation would be shifted

A GP is often in the privileged position of knowing something about a woman and her background. As such, he or she is in an ideal position to counsel her about termination, or to refer her to a local pregnancy crisis centre where she will be given information, time and space to consider the choices available to her.

If the GP were involved in the procedure there would be a complete shift in his or

her responsibility and motivation. So absolutely, no!

Dr Valerie Dock

London N5

Distressing, unacceptable ­ this plan mustn't go forward

Patients who are opposed to terminations would find it extremely distressing if they found out they were being performed in GP premises.

Likewise, GPs like myself would find it totally unacceptable to know that terminations were being carried out in my surgery by a partner.

There could be severe damage to doctor/ patient relationships; how can a doctor with any sense of decency carry on looking after patients long-term when they have performed a termination?

Who is going to counsel the patient objectively about her decision ­ it certainly should not be the GP performing the termination, who is getting paid for it.

Although gynaecologists perform terminations I sure most of them do find the procedure distasteful and certainly do not do the procedures out of choice ­ it's just as part of their job.

At least they can withdraw from the women after the procedure is over and do not have to face them again.

I hope this plan does not go forward.

Dr Clare Kendall

Lamberhurst

Kent

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