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Haemoptysis is red flag for urgent Ca referral

As the largest representative body for independent care homes in England, the English Community Care Association took great offence at the ageist and inhumane attitudes exhibited by Dr Phil Peverley (Columnists, June 18).

Dr Peverley brought grave discredit on his profession, the majority of whom do so much to provide care and support for older people.

The attitudes expressed fly in the face of the core values of the health service and I hope that Dr Peverley's PCT will be taking action to ensure he is not allowed to practise while holding these opinions.

Residents of care homes are members of our community and have the right to expect the same dignity and health care services that are available to the rest of society. Many care homes are forced to pay GP retainers in order to receive a community medical service, and the column is a graphic example of the degree of ageism that exists in some parts of the system.

There is no excuse for anybody to make such comments because it demeans both the residents and the staff who work so hard to support them on a 24-hours-a-day, 365-days-a-year basis.

If there is a real commitment to the eradication of ageism in health care Dr Peverley would be dismissed.

Fortunately most GPs do a marvellous job caring and supporting very vulnerable and older people both in residential care and in the community.

Martin Green

Chief Executive

English Community Care Association, London

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