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At the heart of general practice since 1960

Sharp drop in HRT use since scare

Your story regarding the NICE decision to agree a draft threshold for statin primary prevention that is much more restrictive than experts advise (News, June 25) illustrates one belief I have held all along. This is a rationing body. This is confirmed by its own statement that its guidance is of the most 'cost-effective' intervention.

NICE is quite a convenient title as it easily converts into National Institute for Cost-Effectiveness. This organisation has never been about excellence. It is a Government rationing quango. It reeks of non-clinical interference.

It should come clean and inform the public that the NHS can only work cost-effectively and that best treatment is sometimes not an option in our health system.

Of course there may be a little more money in the pot if this organisation was disbanded.

Dr G Wilkes

Newcastle upon Tyne

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