In response to the letter (9 December) on inadequate attention being paid to the development needs of those working in primary care, I would like to draw attention to the study programmes developed by the school of postgraduate medicine and health sciences at Exeter University.

The university has worked nationally on management development with such managers and with the Association of Managers in General Practice (now part of the Institute of Healthcare Management) since 1986, and provides a pathway from undergraduate certificate, diploma and BSc(Hons), through to postgraduate masters. It recognises not only that some uni-professional development is appropriate, but also the need for working and learning in a multi-professional environment across primary, secondary and social care.

These programmes are modular and can be accessed nationwide.

Brenda Sawyer Course director School of postgraduate medicine and health sciences Exeter University