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At the heart of general practice since 1960

Cochrane review delivers blow to case management

Dr Hal Maxwell has called on the Department of Health and the Scottish Executive to recognise the Pulse patient survey results when formulating policy.

Results from patients in Scotland, for instance, suggested people were less inclined toward the Government's choice agenda, including Choose and Book, than in England, Wales and Northern Ireland.

Hospital waiting times and the proximity of services were also more important than the performance of doctors at the hospitals, the figures suggested. Dr Maxwell, a GP in a two-partner, rural, dispensing practice in Ballantrae, Ayrshire, said his patients had to travel 35 miles to the nearest hospital.

He said: 'If you're reliant on public transport it's not a choice.

'People are more concerned about waiting times ­ it's responsible for a significant number of re-contacts.'

Dr Maxwell added that it was pleasing that his patients praised his practice. He said: 'If we're getting it right that's all to the good.'

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