• NHS England’s director of primary care has resigned after posting controversial anonymous comments online
  • Dr Arvind Madan, resigned on Sunday after it was revealed he had been posting in Pulse magazine under the pseudonym “devils advocate” 
  • Dr Madan suffered criticism last week after posting an anonymous comment which suggested small GP practices should be pleased with closing

An NHS England director has resigned after posting controversial comments under an anonymous pseudonym.

Arvind Madan, director of primary care for NHS England, has resigned after it was revealed in The Sun he had been posting anonymously in the Pulse magazine since 2015.

Last week, Dr Madan faced significant backlash over comments he made in Pulse which said: “Most businesses would be pleased to see a rationalisation of their markets, as it makes the remainder more viable. This happens in all markets.

“Let’s face it, there are probably too many small practices out there struggling to do everything you would want for your family in an era of modern general practice.”

According to NHS England, Dr Madan offered to resign on Saturday.

In a statement Dr Madan, whose three year secondment to NHS England was due to end this year, said: “I am passionately committed to general practice and primary care in England…

“That secondment comes to an end later this year, but it is clear to me that, sadly, I have lost the confidence of some of my colleagues, and I have therefore decided to resign my NHS England position.

“As part of my attempts to challenge the negative views – and even conspiracy theories – held by a small but vocal minority in the profession I posted on an anonymous online forum used by GPs.

“It was never my intention to cause offence but rather to provoke a more balanced discussion about contentious issues acting as a devil’s advocate.”

He added that the comments he made were “not a reflection of NHS England policy” and that he would “like to apologise to those unreservedly to those who have been upset, particularly in smaller practices.”