Letters: What's happened to the GMS contract objectives?

I was led to believe that the 2004 new GMS contract had three main objectives: raise GP income towards the level of comparable professions, improve the work/life balance of GPs, and improve recruitment and retention in general practice.

We have just received yet another derisory, contemptuous pay deal from the DoH and GPs face the fourth consecutive year of pay cuts in real terms.

The first objective appears to have evaporated.

With extended hours, a strong possibility of a return to 24-hour responsibility, and the inevitable transfer of work from secondary care as the obvious mechanism to cut NHS costs, number two has bitten the dust.

Surely, without one and two there is no hope for three - and we're back to where we were in 2000 - underpaid, undervalued and demoralised. We have been stitched up good and proper.

Dr Ken Hardie, Glasgow.

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