Letters: We took the money; now it's time for the payback

The BMA's recent statement on extended hours is a victory for pragmatism and common sense.

Any attempt to take on the government in the current climate would be doomed to failure.

Overwork and low morale meant the 2004 contract was an offer we couldn't refuse.

In return, however, we relinquished a significant degree of independence and moved a step closer to being NHS employees.

To achieve this, the government invested heavily in the contract and it is now determined to collect on the investment.

The message is clear. If we want to maintain the financial gains of the new contract we will have to engage constructively with our employer.

Or we can refuse to cooperate and find ourselves increasingly marginalised, and poorer.

Dr Patrick Holmes, Stroud, Gloucestershire

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