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Our singlehanded GPs are better than average

The trends mentioned in the news report 'Singlehanded GPs give more unnecessary prescriptions' (February 10) do not apply to the singlehanded and smaller practices in my area. These show consistently low prescribing costs.

Although they see reps, they are careful about interpreting the information given, and turn to us for clarification. I see the reps regularly and ensure they do not give messages inconsistent with PCT policy.

The GPs are low users of new 'untried' drugs. The audits of CHD performance shows they are usually better, but certainly not worse, than the PCT averages on appropriate treatment to target.

In fact, the larger practices ­ three doctors and above ­ are associated with higher prescribing costs per head of population and higher use of newer agents.

All indications are that the singlehanded or small practice provides a more adaptive, responsive and higher level of service to patients on the whole.

Dr Bill Sandhu

Prescribing adviser

West Kent

Maidstone Weald PCT

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