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Letter to David Cameron RE: Health and Social Care Bill authors: Dr Kailash Chand, OBE and Dr J S BamrahTRANSCRIPT
Dr Kailash Chand, OBE Dr J S Bamrah,Garcliffe, Consultant Psychiatrist,34 Astley Road, North Manchester General Hospital,Stalybridge, SK15 1NJ Manchester, M8 5RBTel: 0161 303 0300 Tel: 0161 720 2442Email: [email protected] Email: [email protected]
8th February 2012
The Prime Minister10 Downing StreetLondon,SW1A 2AA
Dear Prime Minister, The Health & Social Care Bill and NHS Reforms
We write to you as different grades of health practitioners from different specialities, to express our concern about the Health & Social Care Bill and NHS Reforms in England. We would like you to take account of the inevitable damage these will cause to the health and wealth of the nation and we would ask that you withdraw the Bill as well as taking steps to ensure that the damaging effects of reforms are reversed with immediate effect. Whilst GPs and other clinicians support the concept of clinically-led commissioning, we do not believe that this expensive upheaval of the health service will even deliver that. If you really want to put clinicians in control you should listen to what they are saying -and put this increasingly confused legislation out of its misery. We firmly believe that:
1. Reform of the NHS is necessary, but that it should have been evolutionary and not revolutionary. The very real problems of the system would be compounded not resolved by the type of change which the passage of this Health and Social Care Bill would deliver.
2. The claimed financial imperatives in seeking reform to health services were illusory. Added to them now are the considerable costs of winding down PCTs and SHAs, and setting up parallel structures, as well as the cost of redundancies and in some cases re-employment of senior health professionals. The growing waiting lists and cancellations of clinics and operations have added to financial and health burdens for the state. The PCTs are being shut down, and now it transpires from leaked Department
of Health documentation that their work will in future be carried out by private sector commissioning support organisations, doubtless at considerably higher cost to the tax payer.
3. The facts speak for themselves; the BMA, the Royal College of GPs, the Royal College of Nursing, The Royal College of Midwives and the Chartered Society of Physiotherapists have also asked for the Bill to be withdrawn. The editors of the HSJ, the Nursing Times, and the BMJ have called the reforms an ‘unholy mess’. An editorial in the Lancet said simply ‘It’s time to kill the Bill’. The Royal College of Psychiatrists states that the Bill is fundamentally flawed, while the Royal College of Radiology are opposed to the Bill in its current form. Sarah Wollaston, Conservative MP for Totnes, said that the reforms could destroy the NHS. Sir David Nicholson, whose responsibility it will be to oversee the Bill's implementation, has expressed the view that the reforms are on such a large scale that "they could be seen from space". A cross-party health select committee led by Conservative MP Stephen Dorrell states that the health reforms have already caused disruption, distraction, a cut in patient services and a move away from innovation and greater efficiency even before their main thrust is launched by the passage of the Bill.
4. The Bill was complex enough at the start of the launch, but several hundred amendments later it has become even more so. None of the amendments agreed by the government do anything to resolve the fundamental problems with the Bill which will see costs rise further and service coordination disintegrate.
5. The Bill will enhance competition on the basis of cost and not quality, it will pit the different parts of what should be a coordinated system against one another, and it will lead to fragmentation of the NHS within England.
6. The Bill seeks to complete the roll-out of market-based changes to the NHS which has already added 14% of market-related deadweight costs to the system despite its limited scale up until now. Not only will the passage of the Bill make it much more likely in the future for hospitals to run into financial difficulties, but the Bill, extraordinarily, specifically sets up a regime to facilitate their insolvency and closure. Many of the more complex and chronically ill patients will find that the new competition-based health service will not support the coordination of tailored care packages as the existing system does, leaving them vulnerable to not getting access to high quality care.
7. Your government is taking privatisation of the NHS to a different level than any previous government by enshrining this in the Bill. We are concerned about your proposals aimed at completing the roll-out of the ‘Any Qualified Provider’ concept which will see costs climb uncontrollably at the cost of quality of care, and that commissioning of health care is to be compulsorily shifted into commercial "Commissioning Support Organisations" attracting organisations that have a track record of fraud against the US government. The removal of a cap on private income for foundation trusts is bound to result in a two-tier system even within those NHS hospitals which are able to survive under the new regime.
8. The reluctance of the Secretary of State for Health to accept the responsibility he has towards the NHS post-reform makes his position untenable. It would appear that the reason for Clause 1 is to weaken the
link between the government and the actual functioning of the post-2012 system to avoid the possibility of successful legal action against the government. If this Bill is passed we expect that there will be a call for judicial review of the change.
We would respectfully ask that you reflect on these matters and take appropriate steps to engage with those like us who have a genuine desire to improve the quality of care for our patients without jeopardising what has been inherently good about the National Health Service.
Yours Sincerely,
Signed:
Kailash Chand OBE J S Bamrah
Additional signatories:
Dr Rick Adams, SpR Psychiatry, London
Dr Anthony Adegoke, GP, London
Dr R Ali, GP, London
Dr Jackie Applebee, GP, London
Dr Natasha Arnold, Consultant Geriatrician, Hackney
Dr Aruna Asthana, GP, Dukinfield
Dr J C Asthana, Consultant Community Paediatrician (Retd), Stalybridge
Dr Tariq Aziz, GP trainee, Bradford
Dr Sukhdip Bahia, Consultant Psychiatrist/Lead Consultant, Manchester
Dr Tarunveer Singh Bakshi, Paediatric Registrar, Warwick
Dr Balwant Singh Banga, GP, Doncaster
Dr P E Barley, GP, Deal
Ms Eleanor Barnard-Croft, Ward Sister (RMN), Stockport
Dr Mark Barrett, GP, London
Dr Jacki Barson, GP Specialist, Kirklees
Dr Jim Bartlett , GP, Shropshire
Dr Satwinder Basra, GP, Bedford
Dr Joanna Bayley, GP, Cheltenham
Professor Susan Mary Benbow, Visiting Prof of Mental Health & Ageing/Director, Manchester & Stafford
Dr Nicola Beck, GP, London
Dr Lisa Jane Beddoes, Consultant Old Age Psychiatrist/Honorary Lecturer, Wirral
Dr David Bell, Consultant Psychiatrist, London
Dr Eerke Berger, SpR Cardiology, Manchester
Professor R S Bhopal CBE, Professor of Public Health, Edinburgh
Prof Rudolf Bilous, Consultant Endocrinologist, Middlesbrough
Dr Charlotte Bird, GP Principal, Gateshead
Dr Nick Bird, GP, Bradford
Dr Karen Bisset, GP, Newcastle upon Tyne
Dr Regine Blattner, Consultant Psychiatrist, Manchester
Dr Emily Boait, GP, Bristol
Dr Kambiz Boomla, GP, London
Mr Ardeshir Bonshahi, Consultant Orthopaedic surgeon, Oldham
Dr David Bossano, GP, Exeter
Dr Terry Bowley, GP, London
Dr Helene Brandon, Consultant Obstetrician and Gynaecologist, Gateshead
Dr Peter Brewer, Locum GP, Looe Cornwall
Dr Will Brook, GP, London
Dr Gareth Brown, GP Partner, London
Dr Kirsten Brown, GP/Clinical Lead Urgent Care & Maternity, London
Dr Pete Budden, GP, Eccles
Dr M J G Bunn, GP Principal, Hemel Hempstead
Dr Nick Bunting, GP, Boston
Dr William Burbridge-James, Consultant Psychiatrist in Psychotherapy, South Essex
Dr S H Burns, GP, Southport
Dr Bob Bury, Consultant Radiologist, Leeds
Dr Marta Buszewicz, GP assistant/Senior Lecturer in Primary Care, London
Dr Conor Byrne, NIHR academic clinical lecturer (Nephrology), London
Dr Mark Cade, GP, Bradford
Dr MSD Callaghan, GP Principal, London
Dr Lucy Carter, GP partner & LMC rep, London
Dr Dominic Casey, Consultant in Learning Disability Psychiatry, Southampton
Ms Kath Cavagan, CMHT Manager, Gateshead
Dr Roy Chad, Consultant Psychiatrist, Chelmsford
Dr Anne Chan, GP, London
Dr Sheila Cheeroth OBE, GP Principal, London
Dr Kiran Chitrapu, GP Partner, London
Professor Imti Choonara, Professor in Child Health, Nottingham
Dr Arun Chopra, Consultant Psychiatrist & Honorary Lecturer, Nottingham
Dr Andrew Clayton-Stead, GP, Bradford
Dr Catherine Cole, Consultant Psychiatrist, Manchester
Dr James Cole, GP Registrar, London
Dr Jonathan Colledge, SpR Radiology, London
Dr Jemma Collins, CT2 trainee, Cardiff
Dr Deborah Colvin, GP Partner, London
Dr Judith Cook, GP, London
Dr Jemma Cooper, GP, Ermington
Dr Lauren Cooper-Jones, GP Registrar, London
Dr R Corker, GP Principal, Sheffield
Dr.Corinne Camilleri-Ferrante, Consultant in Public Health Medicine/Head of School of Public Health, Nottingham
Dr Helen M Coyne, Retired GP, Newcastle upon Tyne
Dr John Cranston, GP, Altrincham
Professor Francis Creed, Professor of Psychiatry, Manchester
Dr Andrew Cummin, Consultant Physician, London
Dr Anna Cummin, SAS doctor, Guildford
Dr Jack Czauderna, GP (retired), Sheffield
Dr Martin Dace, GP locum/Former Senior Partner, Richmond upon Thames
Dr Helen Daley, Consultant Community Paediatrician, Fareham
Dr Roger Dalton, Consultant in Emergency Medicine, Sheffield
Dr Angshuman Das, Consultant Psychiatrist, Manchester
Dr Alison Davies, GP, St Albans
Dr David Davies, GP, London
Dr Gareth Davies, SAS doctor in Rehab Psychiatry, Stockport
Dr Gilda Davies, Locum GP, Cornwall and Isles of Scilly and Plymouth
Dr Zaib Davids, Consultant Child and Adolescent Psychiatrist, London
Dr George Dean, Sessional GP, Leigh
Dr Thirza Deboo, GP, Marlborough
Dr Owen P Dempsey, GP, Huddersfield
Dr R S Deo, Consultant Psychiatrist, Reading
Dr Amanda Deren-Jones, ST5 Psychiatry, Truro
Dr Pete Deveson, GP, Epsom
Moya de Wet, Registered Dietician, Stockport
Professor John Dickinson, Emeritus Prof of Medicine, London
Dr Harriet Dickson, GP, Exeter
Dr Adam Dierckx, Consultant Medical Psychotherapist, Manchester
Dr Martin Doran, ST6 Anaesthesia, Darlington
BJ Dorani, Consultant in Emergency Medicine & Hand Surgeon, Gateshead
Dr A H Dorman, GP Principal, Luton
Dr Jienchi Dorward, GP trainee, London
Dr Laurence Drake, GP, Potton
Dr Richard Drake, Senior Lecturer/Honorary Consultant, Manchester
Dr Louise Duncan, GP, Newcastle-upon-Tyne
Dr Jenny Durandt, GP/Vice Chair, Clinical Commissioning Group, London
Dr Jane Duthie, Associate Specialist, Glasgow
Dr Mary Edmondson, GP, London
Dr Mark Edwards, GP, Southampton
Dr Maggie Eisner, GP/Training Programme Director, Bradford
Dr David Elliman, Consultant in Community Child Health, London
Dr D. M. Eminson, Consultant Psychiatrist(retired), Manchester
Dr Rhiannon England, GP Principal, London
Dr Peter English, Consultant in Public Health Medicine, Surrey
Dr Rod Escombe, GP, London
Dr Lynn Evans, ST6 Acute and Intensive Care Medicine, Eastbourne
Dr Trish Evans, GP, Sheffield
Dr Sally Ewings, GP, Exeter
Dr Theresa Eynon , Sessional GP, Leicestershire
Dr Josephine Mary Fagan, GP, Tyne & Wear
Dr Helen Farebrother, GP, London
Dr Hayley Faries, GP Trainee, Leeds
Dr Lucy Farley, GP/Programme Director, London
Dr George Farrell, GP Partner, London
Dr Emily Farrow, Salaried GP, London
Professor Gene Feder, GP, Bristol
Dr Alex Fergusson-Wood, GP, Gloucester
Dr Peter Fisher, Consultant Physician (retd)/President of NHS Consultants' Association, Banbury
Dr Mike Fitchett, GP Partner, London
Dr Jonathan Folb, Consultant Microbiologist, Liverpool
Dr Steven Ford, Retired GP, Haydon Bridge
Dr Adam Forman, GP, London
Dr Leon Fourie, Locum Consultant Psychiatrist, Glasgow
Dr Karen Franks, Consultant Old Age Psychiatrist, Gateshead
Dr Tim Freegard, Consultant Ophthalmologist, Plymouth
Dr Jon Fuller, GP, Hackney
Dr Katy Gardner, GP, Liverpool
Dr Richard Garlick, GP/Consultant in Public Health, London
Dr Peter Godfrey,GP, Devon
Dr Zahid Ghufoor, GP, London
Dr Paramjit Gill, Salaried GP, Birmingham
Mr James van Gils, Medical Student, Nottingham
Mr Josphat Githaiga, Community Physiotherapist, Bolton
Dr V Goodger, GP , Hereford
Dr Natasha Gordon, GP, Leeds
Dr Jonathan Gore, GP, London
Dr Douglas A Gray, Consultant Forensic Psychiatrist, Carstairs
Mr Colin Greaves, Chartered Psychologist, Exeter
Dr Brian Green, GP, Oxfordshire
Dr Josephine Greene, GP Partner, Leigh
Professor Trisha Greenhalgh OBE, GP, London
Dr Keith Greenish, GP Principal, Hitchin
Dr Brigit Greystoke, Clinical Research Fellow/Honorary SpR in Haematology, Manchester
Dr Alun Griffiths, GP, Bradford
Dr Helen Groom, GP, Gateshead
Dr Leo Gurney, ST3 trainee O&G, Newcastle upon Tyne
Dr Vivian Tangang, GP, Hatfield
Dr Kate Hall, ST4 Emergency Medicine, Newcastle upon Tyne
Dr Elizabeth Hamblin, Salaried GP, Bradford
Dr Yasir Hameed, Core Psychiatry Trainee, Norwich
Dr Alex Hamilton, ST4 Forensic Psychiatry, Poole
Dr Carolyn Hargreaves, Speciality Doctor in Emergency Medicine,Portsmouth
Dr Judy Harrison, Consultant Psychiatrist/Associate Medical Director, Manchester
Dr Derval Harte, ST6 trainee, Bristol
Dr Ying Hau, GP Partner, London
Dr Mary Hawking, GP, Dunstable
Dr R Hawting, GP, Manchester
Mrs Ann Marie Hendry, Community Psychiatric Nurse, Manchester
Dr Sally Higginbottom, GP, London
Dr Clare Grimsell. GP Principal, Hitchin
Professor Graham A Hitman, Professor of Molecular Medicine and Diabetes/Consultant Physician, London
Dr Paul J. Hobday, GP, Maidstone
Dr Julia Hodges, GP & Programme Director, London
Dr Alice Hodkinson, GP, Saffron Walden
Dr Peter Holden, GP, Matlock
Dr Kim Holt, Consultant Paediatrician/Chair Patients First, London
Dr Victoria Holt, GP, London
Dr NS Hopkinson, Consultant Physician, London
Dr AS Hopson, Consultant Anaesthetist, Bristol
Dr Karen Horridge, Consultant Paediatrician, Sunderland
Dr Susannah V Howard, GP Principal, Caddington
Dr Joanna Howes , GP, Bristol
Dr Judith Ibison, Senior Lecturer Primary Care and GP, Lambeth
Dr Nigel Ineson, GP Principal, Watford
Dr Anjum Iqbal, GP, London
Mrs Diane Irvine, CMHT Secretary, Manchester
Dr Louise Irvine, GP, London
Dr Ben Jackson, GP, Doncaster
Dr Elizabeth Jackson, Consultant Psychiatrist/Honorary Senior Lecturer, London
Dr Cathryn Jacob, GP, Dordon
Dr Barbara Jacobs, Retired GP Principal, Lewisham
Dr Karim Janmohamed, GP, London
Dr P.S. Jarrett, GP, Lewisham
Dr Nivenka Jayasekera, Respiratory SpR, London
Dr A Jeffreys, Sessional GP, East Yorkshire
Dr Di Jelley, Clinical Lead for GP Appraisal, North Shields
Mr K Jha, Consultant in Trauma and Orthopaedics, Bradford
Dr Guy Johnson, GP, Edinburgh
Ms Julie Johnston, Band 7 RMN, Gateshead Tyne and Wear
Dr Sally Johnston, GP, Lymington
Professor David Jolley, Reader in Psychiatry, Manchester
Dr Sue Jolley, Consultant Psychiatrist (retd), Altrincham
Dr Coral Jones, GP, London
Dr Fred Kavalier, GP, London
Dr Lesley Kay , Consultant Rheumatologist/Clinical Director, Newcastle upon Tyne
Dr Jennifer Kay, GP, Enfield
Dr Taseer Kazmi, Consultant Psychiatrist, Manchester
Professor Harry Keen CBE, Emeritus Professor and Consultant Physician, London
Dr Alex Kelly, GP, London
Dr Michael A Kenny, GP Principal, London
Dr Jonathan Kingston, GP, Greenwich
Dr Hilary Kinsler, Consultant Old Age Psychiarist, London
Dr Janet Kirton, GP/Programme Director, London
Dr Hilary Klonin, Consultant Paediatric Intensivist, Hull
Dr Kumar Kotegaonkar, GP, Bury
Dr Manju Kotegaonkar, GP (Retired), Bury
Dr S Krishnasamy, GP, Barnsley
Professor J K Cruickshank, Professor in Diabetes, Cardiovascular Medicine & Nutrition, London
Dr Nancy Küchemann, GP Principal, London
Dr Anu Kumar, GP, Hackney
Dr Vijay Kumar, Consultant Psychiatrist, Macclesfield
Ms Naomi Law, Trainee Clinical Psychologist, London
Dr Joyce Leeson, Retired Joint Director of Public Health/formerly DPH, Manchester
Dr Martha Leigh, GP, London
Dr Antony Lempert, GP Principal, Knighton
Dr Simon Lenton, Consultant Paediatrician, Bath
Dr Iracema Leroi, Consultant Old Age Psychiatrist/Hon Senior Lecturer, Preston
Dr Andrew Liggins, Consultant, Peterborough
Dr Rachel Lindley, GP, Manchester
Dr Jane Logan, GP, London
Professor Stuart Logan, Cerebra Professor of Paediatric Epidemiology/Director, Institute of Health Service Research, EXETER
Dr Jo Long, GP, Greenwich
Dr Richard Ma, GP, London
Dr Robert MacGibbon, Retired GP, London
Dr Una Macleod, GP, Hull
Dr James Macpherson, GP, Coventry
Dr Viyaasan Mahalingasivam, CT trainee, Emergency Medicine, London
Dr Anisha Malhotra, Retired GP, Stalybridge
Dr Aseem Malhotra, Final Year Interventional Cardiology trainee, London
Dr John Marks, Retired GP
Professor Vincent Marks, Emeritus Consultant in Chemical Pathology, Guildford
Dr Ruth-Anna Macqueen, O&G trainee, London
Dr Nick Mann, GP, London
Dr Ruth Marchant, GP, Greenwich
Dr Gary Marlowe, GP & CCG Lead, London
Dr Saul Marmot, GP Partner, London
Dr Victoria Matthews, Public Health ST2, Ipswich
Dr Deborah Maynard, GP Principal, London
Mrs Linda McBride
Dr Cornelia McCarthy, GP, Greenwich
Dr John J McCarthy, GP Partner, Norwich
Dr M McCarthy, GP, Shrewsbury
Dr Margaret McCartney, GP, Glasgow
Dr Alex McKay, GP, London
Dr Rachel McKenzie, GP, Belfast
Dr Helena McKeown, GP, Member - RCGP Council & BMA Council, Salisbury
Dr Rebecca McLaren, Consultant Psychiatrist, London
Professor John McLaughlin, Professor of Gastroenterology, Manchester
Dr Katie McLeod. Emergency Medicine ST6, London
Dr Ramesh Mehay, GP, Bradford
Dr R P Mene, GP, Stretford
Dr Jonathan Miller, Consultant Anaesthetist, Southampton
Dr Kate Miller, GP, Shropshire
Dr Tom Miller, GP, Buxton
Dr Juliet Millwaters, GP, Greenwich
Dr Dushyant Mital, Consultant Physician, Milton Keynes
Dr Alexandra Moore, Consultant Psychiatrist, London
Dr Richard Morrison, GP (retired), London
Dr Rob Morrison, GP, North Tyneside
Dr Sue Morrison, retired GP, London
Dr Elizabeth W F Morton, salaried GP, Edinburgh
Dr Gillian E Moss, Consultant in Old Age Psychiatry, Salford
Dr Liz Moylett, GP Principal, Gateshead
Dr Jo Mulley, GP, Leamington Spa
Dr Elizabeth Murphy, GP, Bristol
Dr Jane Myat, GP, London
Dr Greg Neate, Locum Consultant Psychiatrist, Sussex/Glasgow
Dr. Richard Newell, GP Principal, Otley
Dr Jim Newmark, GP, Bradford
Dr David Nicholl, Consultant Neurologist/Honorary Senior Lecturer, Birmingham
Dr Jonathan Nixon, GP Partner, Fife
Dr Riz Noor, GP, London
Dr Stephen O'Rahilly, Consultant Physician, Cambridge
Dr Chris Odedun, CT1 trainee in Emergency Medicine, London
Dr Maureen O'Leary, Consultant Psychiatrist (retired), Sheffield
Dr Brendan O'Reilly, GP (Retd), Mid Glamorgan
Dr Simon Ormerod, GP, Handsworth
Professor B.S. Ottaway, Emeritus Professor of Archaeology, Exeter
Dr Catherine H Orteu, Consultant Dermatologist, London
Dr Susan Overal, GP, Plymouth
Dr Beth Oxley, GP trainee, Bradford
Dr Gillian Painter, Consultant Community Paediatrician, Manchester
Mr Kanwar JS Panesar OBE, Consultant Surgeon (retd), Londonderry
Mr Tony Parker, Community Psychiatric Nurse, Gateshead
Dr David Perry, GP, Northwich
Dr Anita Patel, GP
Dr Ashok Patel, Consultant Psychiatrist, Letchworth Garden City
Dr Sarit Patel, GP, London
Dr Elisabeth Paul, GP Registrar,London
Dr Louise Pealing, GP, London
Dr Vanessa Pearce, GP, Notthinghamshire
Dr Philip Pearson, Consultant Respiratory Physician, Plymouth
Dr Clive Peedell, Consultant Oncologist/Co-chair NHS Consultants' Association, Member BMA Council, Middlesbrough
Dr Declan Phelan, GP, London
Dr Jane Philip, GP, Hounslow
Dr Andrew Platman, GP, Sydenham Green
Dr Graham Platt, GP, Manchester
Dr David Porteous, GP, Bristol
Dr Parsley Powersmith, Consultant Psychiatrist, Stockport
Dr Emma Radcliffe, GP, London
Dr Anand Ramakrishnan, Consultant Psychiatrist, Nottingham
Dr Christopher Rayner, Retired GP/Pharmaceutical Physician, Guildford
Dr Charles Reaves, GP, Devon
Dr Gill Redshaw, GP Specialist, Kirklees
Mr Gordon Read, Member/ex-Chair, Patients' Participation Group, Exeter
Dr Jennie Read, GP, London
Dr Katharine Rees, Consultant Psychiatrist, Gateshead Tyne and Wear
Dr Carol Restell, GP, Hatfield
Dr Lucy Reynolds, Research Fellow, London
Dr Lucy Jane Reynolds, Consultant Paediatrician/Hon Senior Lecturer, GlasgowDr Helga Rhein, GP, Edinburgh
Dr Jonathan Richold, GP, Exeter
Dr Mark Rickets, GP, London
Dr Michael Riga, Sessional/Salaried GP, East London
Dr Liliana Risi, GP/Clinical Lead Cancer and End of Life Care, London
Dr Ben Robinson, FY2, London
Dr P J Rodrigues, GP, London
Dr Trefor Roscoe, GP, Sheffield
Dr Katherine Ross, GP Partner, Hull
Dr Wendy Ross, GP, Newcastle upon Tyne
Ms Shira Rub, Registered Clinical Psychologist, Exeter
Dr Jens Ruhbach, GP Principal, London
Dr Simon Ruffle, GP Partner, Reading
Ms Angela Rushton, Retired Midwife, London
Dr Mark Russell, GP, Cornwall
Dr Deepak Sachdeva, Consultant Psychiatrist, Devon
Dr Jane Sackville West, Salaried GP, London
Dr S Sakhamuri, GP, Barnsley
Dr Aman Samaei, CT2 Psychiatry trainee,Manchester
Dr Fiona Sanders, GP Principal, London
Dr Simon Sandhu, Consultant Rehab Psychiatrist, Rochdale
Dr Sundeep Sandhu, GP, London
Dr S K Sangar, GP Principal, Rickmansworth
Professor Wendy Savage, Senior Lecturer in Obstetrics and Gynaecology (Retd), Hon Professor, London
Dr Paul Schatzberger, GP/PCT director (retired), Sheffield
Dr Sella Shanmugadasan, GP, London
Dr Satya Sharma, GP, Wolverhampton
Dr John Sharvill, GP, Deal Kent
Dr Sarah Shaw, GP, Cornwall
Dr Paul Schatzberger, GP/PCT director (retd), Sheffield
Dr Kate H Scheele, Consultant Respiratory Physician, Lincoln
Dr Fred Schon, Consultant Neurologist, Croydon
Dr Qurat-ul-Ain Shaikh, GP, Sheffield
Dr Paul Shire, GP, Halifax
Dr Jessica Sibson, GMS Principal/GP Partner, Sheffield
Dr Kamal Sidhu, GP, County Durham
Dr Natalie Silvey, FY2 trainee, Leamington Spa
Dr Peter Michael Simmons, GP, Abbots Langley
Dr Ron Singer, Retired GP/President Medical Practitioners' Union, London
Dr Guru Singh, Sessional GP, Loughborough
Dr Manpreet Singh, FY1 trainee, Watford
Dr Narveshwar Sinha, GP trainee, Bury
Mr David Skidmore, Advanced Ambulance Technician, Bognor Regis
Dr Alison Smailes, GP, London
Dr D D Smith, GP, Newcastle upon Tyne
Dr Joanne Smith, GP trainee, Bradford
Mr Benjamin J Snowden, 4th year Medical Student, York
Dr D Soldi, Community Paediatrics, London
Dr Anne Solomon, GP, London
Dr A Spahn, Salaried GP, London
Professor John Spencer, GP/Sub-Dean for Primary Care, Newcastle upon Tyne
Dr Guido Stefanec, Portfolio GP
Dr Sally Stewart, GP, Bradford
Dr Stefan Struebind, GP, London
Dr Tessa Sturt, GP Partner, London
Dr Joanna Sudell, GP, London
Dr Amanda Taffinder, ST5 Old Age Psychiatry, York
Dr Vivian Tangang, GP, Hatfield
Dr Patricia Tate, GP, Cambridge
Dr Ruth Taylor, GP, London
Dr Katherine Teale, Consultant Anaesthetist, Manchester
Dr Daniel Thomas, GP VTS1/Academic Clinical Fellow, Torbay
Dr Kim Thomas, GP, Altrincham
Dr Cedric Thompson, GP, Essex
Dr Catherine Tuffrey, Consultant Community Paediatrician, Portsmouth
Dr Catherine Turner, Clinical Leader, Bournemouth
Ms Margaret Turner, Social Worker, Devon
Dr Dimple Varma, Principal GP, London
Dr Chrissie Verduyn, Clinical Psychologist, Manchester
Dr Hubertus von Blumenthal, GP, Gamlingay
Dr Sally Walker GP Partner, N Shields Tyne & Wear
Mr Chris Wallace, 3rd Year Medical Student, Manchesterl
Dr Zoe Wang, GP Registrar, London
Dr Julia Ward, GP trainee, Dundee
Dr Simon Ward, GP, Notthinghamshire
Dr Mark Waters, GP Principal, Hereford
Dr Tony Waterston, Retired Consultant Paediatrician, Newcastle upon TyneMs Rebecca Waterworth, 4th year Medical Student, Manchester
Dr Jennifer Watson, Locum Consultant Old Age Psychiatrist, Manchester
Dr Frank Wells, GP (retd)/Elected Member BMA Council, Ipswich
Dr Ross Wentworth, Salaried GP, Swinton
Dr Barbara Wesby, Retired GP, London
Dr Mark Witcomb, Emergency Medicine SpR, Farnham
Dr Huw Williams, ST1 trainee, Cardiff
Dr Paul Williams, GP, Middlesbrough
Dr Richard T. H. Williams, Clinical Commissioning Collaborative Board/Retired GP, Lambeth
Dr Ruth Williams, Consultant Psychiatrist, Gateshead
Dr Paul Wilson, GP, Doncaster
Dr Phil Wilson, GP/Senior Lecturer, Glasgow
Dr John Wood, Consultant, London
Dr Sara Woolder, Locum GP, Redcar & Cleveland
Dr Lisa Wray, GP, London
Dr David Wrigley, GP/BMA Council member, Carnforth
Dr Gail Young, Retired GP/Counsellor in Primary Care, Newcastle upon Tyne
Dr Patrick Zentler-Munro, Consultant Physician, Inverness