Letter: NHS shakeup

Sir: You have recently commented on plans to make nurses the filtering system for general practice ("Say goodbye to your local GP", 29 April). There is talk of nurse empowerment, public access, doctor specialisation etc. As a cynical chartered accountant married to a practice nurse at the forefront of the changes I have to point out that the main reason for the changes is not mentioned; nurses are paid at one third of a doctor's rate.

STEPHEN ALEXANDER

Twickenham,

Middlesex