Re: When managers rule

26 December 2012

Jarman's thoughtful editorial is timely and, for the reasons he cites, is typical writing from one who has retired as he is safe from administrative bullets now. He makes an important point on the potential infiltration of royal colleges by Department of Health funded initiatives. The independence of some presidents of some colleges has been in doubt over recent years, particularly with respect to medical training. The General Medical Council suggests that concerns about medical or institutional practice should be directed to the appropriate authority in the first instance. Such approaches locally over a two year period have been ignored. A reassuring contrast was a prompt and appropriate response within days from the President of the Royal College of Physicians of London.

My suspicion is that such latter talent will remain in the capital with a distinct lack of administrative abilities in the provinces as the NHS disintegrates being supervised by unwilling amateurs in general practice.

Competing interests: None declared

Michael G Bamber, general practitioner

Colsterworth Medical Practice, Back Lane, Colsterworth, Lincolnshire NG33 5NJ

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