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Dramatic variation in GP osteoporosis records

I was a little battle weary when I saw your lead story (News, May 21). Then angry that the new Health Secretary wants to stamp her mark and we, yet again, will have the goalposts moved, seemingly at random.

Then it dawned on me that whatever transpires we (who have been in practice since the first new contract courtesy of Ken Clarke in 1990) will probably see her off too. And do far better than expected as we have done every other time.

The basic problem (for the Department of Health) is that as a profession we know our strengths and weaknesses and so far the department hasn't managed to disempower us as a group. It may be that the droves of hospital doctors who are fed up with their terms and conditions will flood general practice, but I think primary care will be able to absorb them and anyone else who fancies a change of direction.

General practice is where all the innovation is taking place, we have all adapted to new things, albeit sometimes a bit reluctantly. I think we should be very pleased about the changes we have effected so far and, rather than muttering about the tinkering that Hewitt is planning, I say bring it on because whatever it is I know GP Land is up for it.

Dr Margaret Lovett


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