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Proposals are overkill, say GPs

• Dr Helen Alpin, Leeds

'I have concerns about miscarriages of justice from shifting the burden of proof, and reducing the role of the GMC is another step away from professionally led regulation.'

• Dr David Bevan, Upwell, Cambridgeshire

'What seems to happen when people come in front of the GMC is they try to ''out-nice'' the defendant.

'If these things go through it means the gloves are off and doctors are going to have to destroy the personality of those who are trying to eviscerate their career.'

• Dr Nigel Dickson, Southampton

'You can't argue that you should get qualified and never have to do anything again to prove your competence, but being a GMC affiliate is going to be a poisoned chalice.'

• Dr Chris Hall, Belfast

'This is going to create a much more adversarial environment. General practice is about managing risk but this is going to lead to more defensive medicine.'

• Dr Bryn John, Neath

'Initially it might be very threatening but doctors are revalidated in many other countries. Everybody will be scared, but in the longer-term it might be more accepted.'

• Dr Fiona Cornish, Cambridge

'Knowledge tests are not the best way of assessing GP competence. What will happen if 20 per cent of doctors end up failing it?'

• Dr James Gillgrass, Croydon, Surrey

'This might impact on those close to retirement. If you are in your late 50s or early 60s and have never had to do this sort of thing before, you might take the view this is a step too far.'

• Dr Gavin Jamie, Swindon

'The GMC is going to become the police with a constable in every PCT, to investigate and keep a criminal record on you. It's going to be much more difficult for the GMC to be


'It will create an atmosphere of fear and lead to increased referrals and investigations. I feel a little bit depressed.'

• Dr John Pittard, Staines, Middlesex

'The proposals do not make

academic or intellectual sense and implementation could be blown off course by the financial implications.

'Everyone used to be happy clappy about appraisal until the financial pants caught fire.'

• Dr Thomas Bloch, Broadway, Worcestershire

'The whole idea appals me. I come from Switzerland where you have to have a licence for everything.

'I found it refreshing that a profession could be trusted and that it was not over-regulated.

'It's time for a Gandhi-style campaign of civil disobedience. If nobody collaborated we could not all be struck off.'

• Dr Helen Roberts, Farnham, Surrey

'I don't feel threatened by knowledge tests – I'm more concerned about how these proposals might disrupt the day-to-day running of the surgery.'

• Dr Prit Buttar, Abingdon, Oxfordshire

'The only way for doctors to

survive until retirement is to practise defensive US-style medicine.'

• Dr Niall Finegan, Salford, Lancashire

'It's overkill. It's going to cost £100 million. How many operations would you get for that? This is to stop a psychopath killing more people, but you can't legislate against another Shipman.'

• Dr Aneez Esmail, Manchester – former medical adviser to Dame Janet Smith during the Shipman inquiry

'It definitely isn't a fudge. The current system can't go on. I was pleasantly surprised. If a complaint is made, it should be dealt with much more along certain standards.'

• Dr Stephen McKenning, Portsmouth

'Does this man [Sir Liam Donaldson] live in the real world? It seems like a lot of his proposals are trying to satisfy both camps.

The Shipman fall-out was really badly handled and I'm not

convinced these confusing proposals will avoid future incidents.'

• Dr Tony Grewal, West Drayton, Middlesex

'The first day of revalidation will be the first day of retirement for many GPs.

'As for the knowledge tests, what if you're nervous on the day? What if you've done the wrong bit of reading? Are they just going to tell those GPs to sod off?'

• Dr Helen Parry, Sunderland

'I'm not worried about doing a knowledge test, but I don't think it's the best assessment tool of competence either. It has a ring of what you know on the test day being more important than when the patient is in front of you.'

• Dr Douglas Moederle-Lumb, North Yorkshire, Bradford and Airedale LMCs

'To use the civil standard of proof puts doctors at risk of miscarriages of justice. You can't find someone guilty of serious professional misconduct based on anything less than the criminal standard of proof.'

• Dr David Lloyd, Harrow, Middx

'The cost of this will be astronomical. Who's going to pay for all the appraisals and GP affiliates? I can't believe it's going to be included in the GMC levy.

'I do think knowledge tests are an excellent idea. There definitely needs to be a benchmarking of standards.'

• Dr John Grenville, Derbyshire LMC chair and former adviser to the Shipman Inquiry

'It's over the top. Sir Liam Donaldson compares us with airline pilots, but they have hundreds of assessments in a simulated cockpit in working hours.

'If we can arrange for GPs to do simulated surgeries and they are checked on it for so many days in a career within working hours, I would not have a problem.'

• Dr Peter Jolliffe, Devon LMC

'The more the Government decides to bully its doctors just because it can, the less people will want to become doctors in the future.

'This will also cause a huge locum fall-out, deterring those GPs who like to retire but come back for locum work.'

• Dr Richard Lawson, Congresbury, Somerset

'These proposals are aimed at a few doctors, but the majority have to suffer.

'I'm retiring at the end of August – thank God. I was hoping to come back as a locum two days a week, but this will certainly make me think twice about it.'

• Dr Jim Kennedy, Hayes, Middlesex

'I have reservations about a range of the proposals – the people who have drawn them up don't understand the complexities of GPs' working environment or the expected ethical behaviour within the profession.'

• Dr Terry John, Walthamstow, east London

'Looking at the PMETB's record and desire for money, I have real concerns about them controlling the undergraduate curriculum.

'I worry the cost will fall to the individual medical students of the future.'

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