As I am one of his 'unproductive and unfulfilled' public health doctors, I was interested to read Steve Ainsworth's assessment of my competence.

After 15 years as a clinician and eight in public health, I almost felt like a 'real' doctor - the butt of NHS management contempt.

Undervaluing and overcriticising GPs is not totally unrelated to the current shortage within the specialty.

Dr Kate Mackay

Consultant

Public health medicine

London