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Independents' Day

My minor ops despondency

From Dr Andrew Platman

London SE26

I read with dismay that only GPSIs in dermatology will now be allowed to treat skin cancer (News, 23 February).

In 22 years as a GP 'minor opper' I have treated many BCCs, a few SCCs and two early malignant melanomas masquerading as bog-standard moles. I think I nipped two potential fatalities in the bud.

This restriction can only lead to delay in diagnosis and treatment as hospitals get clogged up with more and more referrals, and to frustration and despondency among GPs who have been doing the job for years without a little bit of paper to say so.

What next? A certificate in crossing the road?

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