Letter of the Week: Next-stage review will let GPs influence the future

I would urge GPs to remain engaged with the next-stage review (NSR) (GP, 14 December 2007).

This is an opportunity to shape the local NHS for the next 10 years.

While I understand the frustration felt by some, it is important to stand back from the hurly burly of day-to-day work and think how care could be better. Scaling up primary care will be the key to the success of the NHS NSR. This is why primary care has such a high profile in the review.

The NSR matters. I have seen major improvements in patient care, but I also know the frustrations, such as lack of access to diagnostics and fragmentation of care.

It is essential that the GP's and the consultant's voice are heard together to create service improvements. The NSR offers that opportunity.

Professor Mayur Lakhani, GP and medical director, NHS East Midlands.

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