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Independents' Day

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


Re the view ' 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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