Sir, the (Hampshire) PCT seems to have a vast agenda – reduce contract values, KPIs, criminal records, HTM 01-05, UDAs, IGT, medical status, patient complaints ...on and on... all based on an assumption that dentists are not to be trusted! They need to be broken and beaten into submission by useless mountains of paperwork, form filling, box ticking etc.

The sad part is that the PCT and dentists used to work together for the benefit of patients. There was a really good relationship whereby we talked to each other; no really, we physically spoke and problems could be solved without reverting to paperwork, breach notices, or email.

I'm old, I've been in practice for 40 years and the finishing line is in sight. I can escape at any time (hence the letter). I still enjoy dentistry, but someone once told me that when you are no longer prepared to fit in with the system, it's time to go.

The system has grown into a monster – so with regrets farewell.

1. By email