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Why generalists must never be replaced

Dr Dirk de Cocq complains about low pay for out-of-hours work (News, October 25). He calls the £30 an hour he is being paid 'a rip off and scandalous'.

I agree, but he only has himself to blame. Out-of-hours work will now be dependent on market forces. As long as doctors are prepared to work for pitiful rates, providers will be only to happy to employ them.

Locum GPs are currently earning around £60 to £100 an hour for daytime work. Dr de Cocq would be better off working during the day or, if he is keen on working out-of hours, to retrain and work as a night plumber.

Dr de Cocq is devaluing both himself and the profession.

Dr Adil Suleman


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