Dr Kailash Chand, OBE S Bamrah, Garcliffe, Psychiatrist, 34 Astley Road, General Hospital, Stalybridge, SK15 1NJ Manchester, M8 5RB

Tel: 0161 303 0300 0161 720 2442

Email: kchand@btconnect.com jsbamrah@aol.com 8th February 2012

Dr J Consultant North Manchester

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Email:

The Prime Minister 10 Downing Street London, 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

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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. 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Nursing, The Royal College of Midwives and the Chartered Society of Physiotherapists have also asked for the Bill to be withdrawn.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 Its 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. 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. 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. 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 competitionbased 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. 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. 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 & S 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 He 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 Mike Fitchett, GP Partner, London Dr Jonathan Folb, Consultant Microbiologist, Liverpool

Dr Peter Fisher, Consultant Physician (retd)/President of NHS Consultants' Association, Banbury

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 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

Professor Graham A Hitman, Professor of Molecular Medicine and Diabetes/Consultant Physician

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 Kchemann, 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 Heal 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 Co 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, Glasgow Dr 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 Dr Paul Schatzberger, GP/PCT director (retired), Sheffield Dr Sella Shanmugadasan, GP, London

Professor Wendy Savage, Senior Lecturer in Obstetrics and Gynaecology (Retd), Hon Professor,

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 Tyne Ms 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