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Gold, incentives and meh

Mistrust abounds

From Dr Mark McCartney

Pensilva, Cornwall

I was interested to read your story about the changes in out-of-hours care in Cornwall (News, 9 March) where you report the PCT lead as saying that April rotas had now gone to GPs.

If accurate, I am afraid it is typical of the misinformation we have had about the changes happening in Cornwall.

While it is true that rotas have been sent to GPs, the reality is that they are blank spreadsheets with no names on them.

Dr Robert Harvey's quote accurately reflects this: 'It's cultivated an unfortunate atmosphere of mistrust, which is needless.'

I have attempted to obtain more information about the tendering process under the Freedom of Information Act, but have been refused copies of the Serco bid on the grounds that it is commercially sensitive.

GPs who do not work for the out-of-hours organisations should not be complacent about this.

Other aspects of our work are potentially up for tender in the future, and PCTs have shown their power and lack of accountability in awarding contracts to the preferred large private providers.

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