I concur with the sentiments and analysis of primary care groups made by Dr Michael Dixon of the NHS PCG Alliance (letters, 6 May).

As implied in my letter (22 April), I am sad that the primary care group initiative is being pushed through at this time in the precarious NHS.

We were against GP fundholding because we reasoned that if it became universal, as was the ultimate intention, fundholders would lose all the benefits they said they had, which arose because their unique position gave them bargaining power.

We would sooner the existing HA situation had been allowed to evolve and improve. PCGs are another of the hypothetical initiatives of this government of good intentions which could fail in reality. Will GPs have the time and energy to play their very important part? Will they be able to agree with each other? And if one PCG appears to win benefits over an adjacent PCG, will not public discontent once again rock the NHS political boat? Such news travels very fast, because people like to gossip about health problems, and everyone knows someone who is being treated or waiting to be treated by the NHS.

We predict a rough ride ahead of PCGs. And I hope patients do not suffer further as a result.

Eric Naylor

NHS Patients Campaign

Essex