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'Socialistic utopia' would scupper a vital role for GPs

As a GP principal of 23 years' standing I really must take issue with Dr Pandher (Letters, October 13) advocating a full GP salaried service in large primary care centres with non-clinical issues being removed from the domain of doctors and nurses.

My experience over many years has

taught me that my ability to act as

patients' advocate in dealings with

the health service and other bureaucratic institutions relies heavily on my independent contractor status with respect to personal control over my staff, premises and workload.

Dr Pandher's socialistic utopia would remove this valuable function at a stroke.

Dr Ian James



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