We were very interested to read the feature 'Hit and miss' (page 26, 25 May) about GPs' lack of preparation for clinical governance.

We found remarkably similar results following interviews in about 60 practices across two primary care groups in London. However, we also found that the clinical governance baseline identified a great deal of excellent practice plus a real opportunity for sharing it between practices.

We also asked an open question about what the GPs saw as the biggest risk facing them in the future. A significant number of single-handed GPs put the risk to their own mental health as the biggest risk to their practice.

The tone of the article seemed to blame GPs for their lack of preparation for clinical governance, even at this early baseline stage, whereas we found an enthusiasm for clinical governance coupled with a real need for support.

Tracey Sparkes Partner Quintessent Training and Consultancy