David Cameron worries me because one moment he appears to be listening and the next he is making and taking decisions on the hoof without asking the electorate what they want in terms of access to medical practitioners and medical facilities. What most people want, I suspect, is access to doctors, other medical practitioners and specialists in a medical centre, on a 24/7 basis, so that any and all medical problems can be dealt with in the shortest possible time. Most areas used to have places called 'cottage hospitals', where medical practitioners could respond rapidly to medical problems but these were closed in favour of bigger, but not better, monoliths with their inherent parking problems, congestion and restrictions. It is not so much a matter of closing GP surgeries but more a case of providing cottage hospitals with medical staff who can carry out immediate diagnosis, tests, x-rays or scans, physiotherapy, minor surgery and with access to drugs and medicines.

Kenneth Armitage, Suffolk, England

In this doctors and patients are united. Patients want better services and doctors want to provide them.

The NHS is a disunited organisation with a primary-secondary care gap (made worse by government policies of Practice Based commissioning and payment by results).

In primary care we have GP surgeries, out of hours providers, NHS direct, walk in centres, A+E departments and the ambulance service all working separately from each other.

In short we have an uncoordinated michmash of services, failing to deliver what patients want. Expensive and wasteful...but then you know this is new Labour management.

Dr Peter Davies, Halifax, West Yorkshire

I am a GP trainer and was suprised to learn that doctors who fail in their training to become GPs are to be allowed to work in these polyclinics. I am suprised that this has not made national headlines.

Jonathan, West Midlands,

Bert, and all of you out there who have been spoonfed this garbage about so-called fat cat GP's by the government and press, and end up regurgitating it: you don't have a clue! If you really want to know the truth, why don't you approach and politely ask to shadow a GP in your local practice and really see what sort of a workload he/she has or what stresses go through their minds every time they make a potentially life-altering diagnosis or management plan in order to help a patient - yes HELP a patient.....

And if you think it is such an easy, workshy, lucrative life, free from culpability, liability, or responsibility after that, I suggest you perhaps support your children into this noble profession and maybe then, when all the dust has settled, you'll finally realise from them what the truth is - because you obviously will not trust the hardworking primary care doctors of this country.

San, Birmingham,uk,

But surgeries such as my local surgery do all the things these labour fools are about to duplicate. What a shbles the NHS is in already after ten years of this bunch of control freaks. This must be stopped before it is too late.

D Case, Newquay,

POLYCLINICS, SUPER-SURGERIES, FEDERATED MODELS, COMMERCIALISATION. Is everyone trying to destroy what was the best model of health care in the World? Make two brass plates for the Cabinet Room. MINIMUM ESSENTIAL, and IF IT AINT BROKE DON’T MEND IT. And a third, HIGH MORAL ESSENTIAL, PAY WELL.
The GP system is great. We know and have confidence and trust in our GP. If we don’t, we have patient choice. Market forces site surgeries where parking costs 50p, compared with £2.50 / £5.00 for hospitals. The queue is five compared with fifty at the Hospital. Doctors have choice to group together with friends as colleagues, espirit de corps, not Terminal 5 super- surgeries.
Local Clinics yes, for blood and other tests, if that is what you mean say so, not the dreaded tunnel, not diagnostic testing.
Commercialisation yes, but don’t call it that. Pharmacy works brilliantly in the small shop making a reasonable profit. We have been robbed of our contract with government for NHS Dentistry. The latest Dentist contract has led to Dentists voting with their feet.
OAP in our great country have teeth falling out from rotting gums unable to pay private or even NHS charges. The Dentist contract IS BROKE, please FIX IT NOW. The Government were horrified at the increase in Consultant moral due to their new contract, Governments immediate reaction was how can we upset the applecart ? The NHS is a vote winner.

Gut Liam, Hertford, Engtland

No win No fee solicitors will kill polyclinics. They will only be a memory in 5 years time.

Tern, Manchester, UK

Bert, you obviously digest every ounce of labour spin that comes your way! I challenge you to find a GP that works just 9-5. More like 8am to 630pm!

mannan, lancashire, uk

For goodness sake we cannot get rid of local doctor's surgeries what is this world coming to? The GP/patient relationship is absolutely vital to trust and getting better for the vast majority of patients. Let us just pray that Labour get booted out before they can implement such a diabolically stupid policy - but then they always have been good at that which can be proved if you look at the state Britain is in today after 10 years of their disastrous policies! The old slogan which was very prevelant in the 60's - indeed I even had it written on my school satchel was "Go broke with labour" - twas ever thus.

Jenny, Kent, UK

Are these the same, 9-5 weekdays only doctors, with a usual 3 working days wait for an appointment. Their patients will decide which is the better service if they get the choice. If it upsets the shop stewards at the BMA it must be bad for their members, good for patients.

bert, coventry,