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At the heart of general practice since 1960

It is laughable to suggest federations are the answer

I am amused at the plan by 'GP leaders' to overhaul the profession as most of us have gone through our professional life ignoring the RCGP - seeing it as a group of people who prefer to sit around talking rather than doing the job they trained to do ('GP leaders plan overhaul of "unsustainable" general practice').

Most of the profession is now losing confidence in the BMA for the toothless way it is dealing with this Government. The problem is the lack of GP partners and the solution is apparently to downgrade all jobs to salaried posts. Excellent, at least they haven't disappointed me. They continue to talk rubbish.

GMS practices are now hugely under-resourced compared with our PMS colleagues. This, of course, is not a popular subject for the BMA as it will only upset the bigger, more vocal and more powerful PMS practices.

Get us all back to a level playing field and GP partner jobs will reappear.

I caution younger GPs against the road proposed by the BMA and RCGP. It will lead to salaried status and being answerable to administrators all your working life and will prevent you from enjoying the most fulfilling career possible - being a family doctor answerable mainly to your patients.

From Dr Patrick Geraghty, Leeds

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