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'Just in case' medication boxes can improve care of dying patients

Apparently Dame Janet Smith denies she set out to present GPs as murderers (News, July 2) but insists the situation has to be taken seriously because 'no one noticed' Harold Shipman's killings.

She is then said to have 'stood firm on her call for knowledge tests as part of revalidation'.

Exactly what evidence is there that Harold Shipman's clinical knowledge was lacking or that such a test would have caught him out? Or, indeed, that there is a general lack of knowledge among GPs who have been qualified for five years or more?

Are lawyers tested on their knowledge of the law every five years after leaving law school? The nerve of the woman continues to astound me!

Dr Amanda Lindsay

Leeds

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