I note with interest the diagnosis of my article in the HSJ on access to primary care as 'full of fantasy', as stated on last week's front page (GP, 7 September).
Had the entire article been examined in the correct context, it would be understood that I was not putting forward proposals, but listing the sorts of policy options that were available to improve access to primary care.
I went on to highlight that these were long-term options that would need thinking through in more detail and to be discussed with GPs and their representatives.
I also asked the question whether the implied upheaval would be justified.
A knee-jerk reaction to a measured consideration of what could be done to improve patient access will not help clinicians and managers deliver the first-class primary care system that we all want to achieve.
David Stout, Primary Care Trust Network director, NHS Confederation, London.