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At the heart of general practice since 1960

High-flyers difficult to manage? ­ I hope I'm one of those GPs

I was astounded by the reasons why Dr Alistair Scotland, medical director of the National Clinical Assessment Authority, wants primary care organisations and hospital trusts to scrutinise the top-performing 2.5 per cent of doctors as well as the bottom 2.5 per cent (News report, July 14).

Since when has the need to be an 'easy person for the NHS to manage' been part of a GP's job description? In a profession as diverse as general practice, it is inevitable that there will be a diversity of skills, aptitudes and personalities.

Providing one ensures an appropriate standard of competence, this diversity serves only to enrich the ability of the NHS to deal with human nature, red in tooth and claw.

Practice in Hackney can be very different from Orkney. Unfortunately, this Government, and presumably its servants such as Dr Scotland, seem to wish to reduce all and everything to a dreary conformity justified by 'equity and fairness', a mantra that infests most PCT documents.

If it means being an independent advocate for my patients, I sincerely hope the NHS finds me very 'difficult to manage'.

A fault to be a high-flyer? George Orwell must be spinning in his grave.

Dr Robin Jackson

Lancaster

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