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At the heart of general practice since 1960

GPs cost less than nurse practitioners

Many years ago Flanders and Swan jokingly invented the position of 'Chief Assistant to the Assistant Chief'. Your July 2 edition contained a letter from someone entitled 'Assistant Director, Patient Empowerment and Consumer Development'.

One wonders whether anyone has come across a more splendidly ludicrous managerial title and, if so, would they like to share it with us? If funds stretch, perhaps you could offer a modest trophy to the one considered best.

May I suggest a brightly plated loo roll holder so that the lucky winner could clearly contemplate the inestimable value of NHS bureaucracy. Perhaps it could be entitled the Poo Bah trophy after the gentlemen in the Mikado who was Lord High Everything Else.

Dr Alan Wimhurst


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