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At the heart of general practice since 1960

GPs determined to fight threat to core values of general practice

Regarding the article 'Heartsink I see more than my own kids' (Features, March 5), this is the problem with unregulated access to GPs.

I have pointed out to our PCT chief executive that the only solution is payment per consultation, but the response is 'but that will hurt the most vulnerable patients'. I would dispute that, as they should have a mechanism for reclaiming a proportion (not all) of my consultation fee.

One would increase the fee for patients such as this one, until their demand dropped to a reasonable level ­ maybe not less than two or three times the national average consultation rate.

Inner Londoners have to pay a congestion charge, and the motoring organisations such as the AA limit their demand ­ why shouldn't we?

Name and address withheld

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