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NICE must learn to listen

In reponse to your question (News, September 29), yes NICE is losing its credibility with GPs. Not only does it bring out a guideline that is contrary to the new GMS contract but it disagrees with the British Thoracic Society.

I have been performing spirometry and reversibility for 20 years now and fully intend to continue and therefore also gain my points. The quality framework is based heavily on evidence, not clinical suspicion.

As local PCT prescribing lead and vice-chair of the LMC, my advice to GPs in my area will be to go with the new GMS and get the points.

It is high time NICE had a look at itself and listened to what doctors are saying. This is not the first set of guidance that is out of touch.

Dr AD Littler

Skelmersdale, Lancashire

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