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Shortsighted over cancer

You reported the GPC had admitted to caving in on inclusion of cancer in the quality and outcomes framework (April 7). This is short-sighted. Cancer isn't only a secondary care issue.

GPs can significantly influence outcomes in cancer because an early diagnosis is critical and appropriate and rapid referral is the shared responsibility of primary and secondary care.

Crucially, GPs can also influence outcomes for patients in terms of the quality of care they receive and the quality of life they experience outside the secondary care system, particularly after treatment and adjusting to living with cancer. GPs can dramatically improve the experience of dying from cancer for the patient and their carers.

Dr Jane Maher

Chief medical officer

Macmillan Cancer Relief

London SE1

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