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Adapt or die? ­ Is this worth striking over?

From Dr Chanh Tran, Harlow, Essex

I found your headline 'Adapt or die: White Paper warning to GPs' (News, 2 February) very sad. Despite GPs working flat out delivering the targets of nGMS we face yet another new barrage of threats and demands.

The Government are behaving like schoolyard bullies.

They have estimated our measure and have decided they will see how far they can push us. I suspect with our track record we will just lay down and take it. But how shameful on us.

During 10 years as a GP I have become disillusioned and annoyed at how our profession remains stoical and silent while its very foundation is being chiselled away. I suspect we would rather jump off a cliff than risk being disliked for speaking up in defence of our interests.

I agree with your Comment that the White Paper poses the greatest threat to smaller practices. How can a small NHS practice compete with swanky, air-conditioned premises with leather seats and plasma screens?

Our biggest problem is that we do not have an effective voice.

Will Pulse consider polling its readers on the possibility of striking over these potential threats?

The BMA and GPC would certainly never be brave enough to raise this issue.

From Dr Jim Crosland, Birmingham

Salaried GPs are not the only group not well looked after (Letters, 16 February).

Medical report writers have been left in the deep stuff by the BMA, prison docs are not even acknowledged by it. Locums have been dumped with lots of appraisal and revalidation garbage.

No one has said: 'Hellfire, let's withdraw labour en mass for a day and see who squeals first.'

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