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From the figures it is not possible to make the claim that the NHS is institutionally racist without also making the claim that it is also institutionally sexist against male GPs (News, November 8)!

Of course, both could be true. Is it possible that these figures may be linked to the actual number of patient contacts. If you see half as many patients again as another equally empathetic GP you may expect to have 50 per cent more complaints.

It is probable that on average Asian GPs and male GPs will have more contacts, as more women GPs are part-time and many inner-city Asian GPs have large lists. Are there any figures to support this theory?

Dr Bill Spiegler


·The data from the National Clinical Assessment Authority putting 'male GPs in the dock' (November 8) bears further examination.

Although 39 per cent of GPs are female they on average work half-time or a little less due to other very genuine commitments. This means they may account for as few as 23 per cent of consultations (I can explain the arithmetic).

In addition the vast majority of out-of-hours work is done by men. If you also allow for Asian and black doctors being over-represented, unfairly or fairly, who again are very largely male, the sexual difference becomes vanishingly small.

Dr Martin Wolfson



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