Letters: Give GPs the premises to improve patient care

The point that keeps on being missed (Darzi centres might not have GP cover at all times, GP, 6 February) is that in many areas the local GP surgery is providing a service that could do with updating.

It has the GPs and would be able to provide the service if it had the correct building.

The Darzi centres are diluting this valuable resource in many non-city locations where diktat is taking hold. Possibly there should be a review on the impact of Darzi-imposed medical building provision and whether it is offering the wrong thing at a greater cost.

What other recent great wheeze did this government come up with to break the GP hold on the market?

Taking back out-of-hours, and that went really well. This is going to go the same way.

Humans like to be in control of their area of influence. GPs' area of influence is the delivery of medical services for primary care.

PCT area of influence for primary care should be the framework for the GPs to deliver their service, not the service itself.

The Darzi centre policy is the PCT straying into an area it is not capable of delivering, while at the same time alienating the people who can deliver the service for better value and cost.

PCT area of influence should be focused on delivery of secondary care.

Simon Jerrard, Poole, Dorset

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