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CAMHS won't see you now

Local GPs need support to fight the giants

From Dr Clarissa Fabre


East Sussex

I would question your description of Dr John Chisholm and Dr Simon Fradd as 'two ordinary GPs taking on the multi-nationals' (Analysis,

8 June).

There were 23 bidders for the contracts to operate two PCT-run practices in south-east London, including the incumbent GPs.

Our former GPC negotiators are not local GPs, and their private company, Concordia Health, is little different from the giants, United Health and Mercury.

Like these companies, they presumably plan to employ an army of sessional doctors to run their expanding empire, aided by nurse practitioners and health care assistants.

The GPC is encouraging GPs to challenge private companies, but the emphasis should be on helping local GPs to retain control.

One need look no further than what happened in Derbyshire to see the

potential benefits of this principle.

From Dr Michael Blinston Jones

Lyminge, Kent

I could not help but smile at the interview with Dr

Simon Fradd and Dr John Chisholm about Concordia Health Corporation's

proposed takeover of

primary care services throughout this quadrant of the galaxy.

Dr Fradd's suggestion that receptionists should

perform phlebotomy, blood pressures, ECGs, QOF searches and new patient checks inevitably begs the

question of who should

then do the reception work.

I suggest this work could be undertaken by retraining the practice cleaners.

Ah!, I hear you cry, but who then will do the cleaning?

The answer is, of

course, GPs who will have plenty of free time now that their work has been

offloaded, as it were, downstream.

Thus my prediction of the future of general practice

will be fulfilled and, to quote Darth Vader, 'the circle is complete'.

Roll on retirement.

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