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Spurn commissioning and stick to what we're good at

From Dr Steve Connolly, Anfield, Liverpool

Our current Government seems to be so blinkered by its slavish adherence to its choice agenda and modernisation programme that it has failed to recognise the importance of engaging the profession.

The latest attempt to bribe us with the DES payments is both transparent and laughable.

Our leaders, however, are advising us that we might as well get involved with practice-based commissioning as it is compulsory anyway. Nonsense. If a critical mass of GPs do not take the King's shilling and simply refuse to take part in PBC and Choose and Book then the system will not work.

We are being told horror stories of the private sector coming in and stealing all our business. This is scaremongering. If we work with our PCTs we can deliver service redesign, more sensitive to local needs and closer to the patients, without having to be directly involved in the commissioning process.

Let's stick to what we are good at ­ providing services. Let PCTs stick to what they do well­ well, what they do ­ commissioning. Don't give up the fight because of fear of the private sector. It is not a level playing field: we are on the higher ground.

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