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Transsexual GP faces 'sceptical profession'

Like Dr Rama Rao (Letters,

8 October), we too have had problems with district nurses.

They are no longer allowed to carry any dressings or medication or do peak flow measuring (they are 'not trained' apparently).

Last week a district nurse was 'too busy' to visit a patient in retention. A patient convalescing following a hip operation was 'well enough to come to the surgery'.

To give them their due, they are only C, D, E and F grades. Their workload has doubled, those on sick leave are not covered by locums and leavers are not replaced.

We used to have a good,

co-operative relationship with the district nurses. Now they are hard to access, reluctant to take on work and, at times, unreliable, leaving patients untended without our knowledge. A bureaucracy similar to that which rules GPs' lives is interfering with their autonomy ­ and they are struggling.

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