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Gold, incentives and meh

Support for GPs' routine post-op check is flawed

From Dr Tim Atkinson,

Littlehampton, West Sussex

Professor Martin Roland's

logic supporting proposals

that GPs perform routine

post-op checks is somewhat flawed (Opinion, 1 March).

He argues there will be

no increase in workload because: a) the patients are coming to see us anyway for certificates and b) because they come to see us to have their stitches out.

Well, first, patients should not be coming to see us for certificates.

Sickness certification is

the responsibility of the surgical team and should be integrated into the discharge process.

This advice was reiterated

by the Cabinet Office six years ago.

Second, it is practice nurses who remove stitches, not GPs, and we GPs rarely see the patient who attends for removal of sutures.

Apparently Professor

Roland works part-time

as a GP.

It must be very part-time.

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