Lack of professionalism in NHS management

I spent the NHS's 60th anniversary wondering how long my practice and others like it will survive, despite offering the 'personal' and 'compassionate' service to which Lord Darzi aspires.

I have been a GP in Essex for nearly 30 years and the health service has changed a lot in that time. There is a lack of professionalism among the people running general practice - the 21st-century NHS is surprisingly sleazy.

If Nye Bevan could see the advances made in the past 60 years and admire the staff who have clung on to a sense of vocation in a material world, he'd be a happy bunny. If, on the other hand, he was shown what the grey people who run his NHS in the 21st century are doing, he'd be horrified.

Dr John Cormack, South Woodham Ferrers, Essex.

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