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Medical regulation: chapter and verse

From Dr Anita Sharma, Oldham

I would like to propose 10 commandments for the current and any future CMO. Thou shalt not:

1 Produce proposals which are difficult to deliver and make the profession angry.

2 Talk about a knowledge test or exam of any kind. Remember we are all adults and are able to identify our own learning needs.

3 Create another level of bureaucracy –remember it is a waste of time and money.

4 Blame the profession for inappropriate care and health inequalities exposing patients to unnecessary risks and costing the NHS billions.

5 Talk about penalising poor practice. Remember poor practice results from system failure rather than failure by individual clinicians.

But thou shalt:

6 Listen to the profession not the politicians.

7 Work towards recruitment and retention rather than an early exodus of women GPs.

8 Love, admire and praise GPs – especially women.

9 Smile more. Remember there has been and will be only one Shipman.

10 Leave the chair when the profession says so.

• From Dr Nick Foreman

Rickmansworth

Re the view '...it is wrong in principle that GPs should have to undergo periodic examination of their knowledge to be able to continue practising' (Comment 3 August). Where to begin with such professional self-interest? Perhaps those holding this view could try checking it out with their patients.

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