Government needs GPs' help to implement plans

Extended hours has already caused great damage to the morale of all GPs.

We have loyally implemented Choose and Book and taken on more clinical risk by 'containing' patients in the community and taking on work shoved across from secondary care, while implementing the quality framework. Already my working day is about 12 hours.

Once GPs' goodwill is lost, I wonder about the fate of Choose and Book, 18-week targets, etc, if we decide not to take on further risk and instead to refer patients as medically indicated.

I am yet not clear about the strategies of the GPC and BMA, but I am certain that in the next few years, it will become a 24/7 contract.

Dr Sidha Sambandan, Cringleford, Norwich.

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