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My clinics saved PCTs thousands

From Dr Robert Koefman, Binfield, Berkshire

I am astounded by the report (News, 17 December) that we are up to 75 per cent more expensive than hospitals.

I have now seen more than 8,000 patients in my ENT clinics which have been running for more than five years.

My costs have recently been increased and are still just 50 per cent of the cost of a hospital appointment with fixed pricing.

Over the last five years I have saved my two PCTs hundreds of thousands of pounds and if they didn't believe this they would have stopped using my services. Indeed they recently increased my cost per case because of having to go to disposable instruments due to variant CJD.

I am astounded that this battle keeps going on. With practice-based commissioning it should increase the use of GPs, not as GPs with special interests but in general. If only PCTs could see the global view of how to achieve cost savings.

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