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BMJ 2004;328:406 (14 February), doi:10.1136/bmj.328.7436.406-a
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EDITORAlcolado in his letter describes a consultant pathologist insisting that a case be referred to the coroner for an autopsy, and he implies that this was for financial gain (which, from his account, seems possible).1
Such behaviour by any of the six consultants in my department would be completely unacceptable, and I am sure that most histopathologists in the United Kingdom would agree. His suggestion that financial gain be taken out of the equation could perhaps be applied to many fields of medicine, although the new contract would imply that this is not current policy.
I would gladly stop doing my extracontractual coroners' work and forgo the comparatively small income derived from it. We have recently turned down the offer of an increase in this work, despite what Alcolado views as the "substantial payment" offered.
Simon Rose, consultant histopathologist
Royal United Hospital, Bath BA1 3NR simon.rose@ruh-bath.swest.nhs.uk