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It's time to stop talking and bring on the revolution

Well, it's either 'oh dear' or 'horray!'. The headlines of doom again! The MPIG is to be scrapped and the QOF is to have its goalposts moved just out of reach of most hard-working doctors.

I hope this continues. History shows the powers that be can only push a body of intelligent individuals so far before they become a cohesive unit and a revolution occurs.

Eventually, the unrequited devotion, school fees or extravagant lifestyles of those doctors not yet ready to take industrial action will be less important than professional pride, a sense of justice and a yearning for stability and a fair salary without having to jump through countless hoops.

In other words, enough will be enough.

All we need is the unity we so sadly lack, representation by a union with sharp enough teeth and a suitable catalyst. I wonder how many of us yearn for the days when general practice was an art and a science and not almost totally a statistical exercise in scoring points?

I thought we went to medical school to learn how to be autonomous. What is the

point if a representative of the system is going to tell us what to do? It is no wonder that older colleagues who used to ask ‘How long can I carry on?' are now saying ‘How soon can I afford to leave?'.

If our response is ‘Oh dear', I'm afraid it is unlikely we will see anything other than a further erosion of our profession. On the other hand, if this is yet another nail into the coffin of general practice, then hooray! The revolution beckons.

From Dr John Wotherspoon, St Helens, Merseyside

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