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Risky to take cash for medicals of not-registered patients

Dr John Couch mentions doing medical examinations for patients who are not registered at his practice (‘Pitching your private fees just right', 19 July).

I find this very unusual practice for a GP. How does he know the patient does not have a history of cardiac or psychiatric illness?

I recall a few years ago a patient of mine had his medical for a taxi firm done at a practice in a nearby town. The patient had a personality disorder and a psychiatric history.

A few months later he was in trouble with the law when his suitability for driving a taxi was questioned. The GP had a narrow escape from the law and the possibility of a GMC disciplinary hearing.

I believe this kind of opportunism is not worth the risk.

Dr F M Hirji, Hemel Hempstead, Hertfordshire

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