Polyclinics are the future
Sir Ara Darzi¹s healthcare for London report (Pulse news, 12 July) is proposing that polyclinics are the most practical and modern way to meet the capital¹s healthcare needs.
At present healthcare provision in London is inadequate, with a shortage of adequate premises or trained staff.
Office space is expensive and even with the cost-rent scheme, finding a piece of land in London to build a surgery is impossible.
The present system leaves the GP as a gatekeeper without a gate and is inefficient, bureaucratic and at times grossly incompetent.
I have seen polyclinics in other countries, where most investigative procedures are done on the premises, with the patient investigated and seen by a specialist in one visit. There are services like physiotherapy, chiropody, opticians and pharmacy in the same building.
I hope what Professor Darzi is proposing is similar, and this model could be implemented throughout the country.
GPs should consider Sir Ara's report not as a threat or an upheaval but as an important and vital reform.
The present system of primary care is outdated; it needs a radical change to meet the needs of the present day.
I welcome his proposals.
Dr Fatehali Merali Hirji, Hemel Hempstead, Hertfordshire