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Consultant cardiologist Dr Dinesh Mistry says GPs should be doing echocardiography (News, October 25) yet this is a skill that not even consultant general physicians have. In our area it is done by cardiologists.

The contract does not promise to pay GPs for doing echocardiography, it only requires that we refer the patient. Whether echocardiography actually happens seems irrelevant, so by having done the referrals GPs satisfy the requirement.

Dr Mistry should ask his negotiators to seek extra funds for the extra work, but let's hope they are better than the GPs' negotiators or he will be unlucky.

Dr David Church

Machynlleth, Powys

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