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Gold, incentives and meh

Show a racist patient the door in quick time

The '3 GPs' feature dealt with a scenario about a patient making racist, obscene remarks in the waiting room about a GP's partner who was also the GP's spouse (April 21).

The new principal is at least firm in his approach and thinks: 'It may be appropriate to offer her an opportunity to register with another practice.'

The course organiser challenges her and goes into full 'RCGP' mode with a thorough consultation. The trainer lies on his back and invites a tummy rub in an astonishingly spineless reply.

My own reply? There is only one place this patient needs to be shown and that is the door, and immediately. Should one of my colleagues later

call me to inquire why the patient was removed from my list, I would tell them they had called my wife a ******* Paki.

It would be entirely up to them if they then decided to register her. NHS trusts have zero-tolerance policies ­ this lady deserves no less than this response.

Dr Paul Siggins

London E11

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