At last an article1 in the BJGP reflecting the concerns of a large number of GPs. How can we stop the current politics? How can we move away from the needs for points towards the needs of patients? How can we spend more time in patient care and less in practice-based commissioning? Thanks again for publishing this leading article. Lets hope it is read by PCT chiefs, politicians and a pang of conscience is raised in the pro-marketeers.