Email: hardmana@bupa.com To: Arthur Hardman Ophthalmology Commissioning Manager BUPA UK Membership Health Care Partnerships Thames Side House South Street Staines Middlesex TW18 4TL Dear Sir RE: Approved Ophthalmology Network I am writing to you regarding the creation of your Approved Ophthalmology Network. I value my relationship with BUPA Insurance Limited and wish to continue to be recognised by you. I have decided not to take part in your initiative. I am not doing so since I consider that the initiative is inappropriate and misdirected. Whilst of course BUPA Insurance Limited should ensure that its recognition data are up-to date, this initiative goes well beyond that. The initiative will have the effect of making BUPA a new accreditor, regulator and auditor of my practice, and as you know I am already accredited and regulated by various professional bodies including the Royal Medical College and the General Medical Council, and audited by the hospital(s) for which I work. The initiative will also be to the detriment of patients since it will effectively limit most patient choice to those doctors who belong to approved networks. I understand that you are in talks with the BMA and other representatives of the profession and that in the meantime I trust you will continue to recognise me for reimbursement purposes for the treatment of BUPA insured patients. Yours sincerely [ Insert Name and Provider Number ]