Doctors and patients
Sir: I was pleased to see John Rowan Wilson's sensible and understanding article on confidentiality in large group practices (January 22), but I cannot agree that the one-man practice is finished. I for one have a first-rate GP who works single-handed; he has an efficient and helpful receptionist, and uses an appointment system successfully and hospital facilities as necessary. I am confident that I could not receive better care as a private patient. In its comments to the Department of Health the Patients' Association has urged the retention of small practices, even singlehanded ones, where suitable, to which patients who wish can go, near their homes, and dealing only with the doctor of their choice and his personal receptionist. There are many patients who do not need or want the services of social workers and health visitors, or need to be screened by nurses. If some doctors prefer working independently or in small practices this would suit many patients very well, in addition to being economical, and no discouragement or impediment should be put in the doctor's way.
Helen S. U. Hodgson Chairman, The Patients' Association, 335 Gray's Inn Road, London WC1