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Make a fuss and get computer-generated discharge letters

I read with utter disbelief the article on ministers' reasons for wanting to raise the base for Q&O because GPs have 'over-delivered', and Dr Snell's comment that the thresholds should be raised to 100 per cent.

This just shows that this Government are so hypocritical that they are unable to say 'well done' to those who have 'over-delivered' and as usual resort to GP bashing.

The reason why GPs have 'over-delivered' is because we were already delivering a high standard of service to our patients and it is they who have underestimated how good a service the NHS gets from its hardworking GPs.

None of the targets are 100 per cent attainable as there will always be some patients in any of the categories who will not attend or even on maximum therapeutic levels of therapy will not hit the targets set.

Any drastic change in the Q&O targets will further reduce moral and young doctor will take one look at general practice and stay in hospital medicine or work abroad.

I hope the GPC will have more backbone this time round and fight any change in the Q&O targets, and any extra clinical or organisation indicators should come with extra funding.

Dr Martin Seely



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