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At the heart of general practice since 1960

Let's try a different care records pilot

'Our patients were not leaned on to participate in the shared care records pilots,' protest Dr McMillen and Dr Natha (Letters, 31 May).

With opt-outs at the 11 practices participating in the pilot scheme at only 0.23%, that's an acceptance rate of 99.77%. That's almost as inclusive as voting in the Soviet bloc in the days of Stalin!

Let's do another pilot scheme. Let's do one at 11 practices that are not in favour. Only this time let's not assume the end justifies the means. Let's have informed consent exercised by people signing up to join the scheme – but only after an informed discussion with the GPs. Nobody will be leaned on.

With the LMC stating publicly that the scheme is 'not in the best interests of patients', we could have quite a different Soviet-style outcome.

From Dr Bernard Newgrosh, Bolton, Lancashire

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