I disagree that our feature 'Hit and miss' (pages 26-27, 25 May) suggested GPs were to blame for the uneven development of clinical governance (letters, 15 June).We reported the results of a questionnaire which found a wide variation in practices on many clinical governance issues. One would have to conclude that there is a great deal of work to be done in developing clinical governance in primary care. But the survey gave the primary care group the information it needed to rise to the challenge.

The questionnaire did not ask GPs how enthusiastic they were about clinical governance, and so we did not report on this.

Juan Baeza Lately, the King's Fund