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I will never do terminations in my surgery at any price

After 14 years as a principal, I have decided to resign.

The reason is that, contrary to what our negotiators would have us believe, we no longer have any control over our workload.

We have been told that closing our practice list should only be used as a last resort and our PCT has strongly discouraged this.

But we are now being allocated patients outside our practice area because there is a boundary dispute with a neighbouring PCT. This is the final straw.

I accept that all patients have a right to have a GP but doctors also have a right to say No when safety is compromised by excessive list sizes.

Except in exceptional circumstances, we should not have to accept patients from outside our practice boundaries where other practices cover the area the patient lives in.

Boundary disputes are administrative cock-ups ­ not exceptional circumstances.

Dr Ann Bolitho-Jones

South Oxhey


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