In addition to all this “private business” aspect of NHS GPs, there is also the thuggish “management” of the Primary Care Trust managers. This coves are not medically qualified and their primary motivation is to get themselves as much power as possible. They dictate policy to the GP Surgeries not only on charging for letters etc., they also specify which drugs can and cannot be prescribed. Disgraceful, considering their non-medical status. One consultant whom we know refuses to work for the NHS because of this. Another described them “bullying, useless arseholes.”