If aspirin were a prescription-only drug, a league-table of GP prescribing for prophylaxis would have validity ('Cost a packet', Finance special report, pages 11-12, 30 March).

Since many elderly people have pride in themselves, they often choose to buy their own - so what does a league table of GP aspirin prescribing mean?

Does the modernisation team for performance and productivity want to paradoxically increase bureaucracy by making prescribing compulsory? Can they square this with the modernisation team for patient empowerment when patients want to buy their own? Will the team for prevention and inequalities be sufficiently satisfied, and what will happen to speed of access with this increased need for prescriptions and prescription monitoring?

From the professional workforce point of view, I was hoping that modernisation meant someone was thinking things through.

Dr Bern Bedford Southampton