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GP backs patient-held budgets

There always were GPs who had special interests in one of the secondary care specialties (News, July 9). These GPs were and are still being employed in the hospitals as clinical assistants.

It is increasingly being recognised that there are some specialties (such as sexual health) and certain aspects of other specialties (diabetes, dermatology) which could be easily managed in the primary care.

There is no justification for long waiting lists for problems that could be easily sorted out in primary care. Nor should we justify a patient travelling long distances for this sort of problem.

We need a uniform accreditation process which is accepted by the RCGP. A rigid demarcation between primary care and secondary care is unnecessary. What we need is a degree of overlap that helps in the smooth transition of the care.

Just like GPwSIs, we also need hospital consultants with primary care interests.

Dr M Gokhale

Liverpool

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