I am surprised to read that the Pinderfields-Pontefract merger is considered a success ('Apart at the seams', pages 22-23, 18 November). Only a few out-of touch senior managers can have deluded themselves of that; the rest of the staff know the exercise is wasteful and unproductive. Whatever savings there may have been must have been lost in travelling costs and time and unproductive effort. The consultant bodies have not resolved any of their differences, staff are stressed and fearful, and no beneficial service changes have been achieved for patients.

In fact the merger is subject to all the disadvantages detailed in the article. At no time was any consideration made of the human consequences.

Name and address withheld