During this administration we have been bombarded with tick-box paperwork; with PCTs that went from being helpful to disciplinary; with a total loss of decision-making independence and with administrators who order us how to practise without knowing what general practice is all about.
Practice-based commissioning will allow GPs to decide - not PCTs that do not consult practices before making compulsory commissioning decisions.
Dr Keith clearly doesn't read the papers: the government has just produced a patients' charter that is as useless as the one he writes about - it seems to have been produced for electoral purposes.
Finally, we were less overworked than we are now and we actually had time for medicine and treating patients, compared with now when many of us spend weekends trying to keep up with the deluge of paperwork.
Having listened to the Andy Burnham interview, I am convinced that we need a change.
- Dr Cornel Fleming, Highgate, north London.