aYOUR correspondent, Dr Hambly (May 4), a director of Ayrshire Doctors on Call, can be assured that my only agenda in trying to get improvements in ADOC is the interests of my constituents, and there have been many other critics of ADOC including councillors, the health council, community councils, and patients.

However, for him to say the service started well is far from the truth. It was set up by GPs without even informing patients, let alone consulting them. As a result of this administrative blunder almost no-one knew the new central helpline number.

Then when criticisms arose those running the scheme were so complacent and arrogant they refused to attend meetings to discuss concerns or to answer criticisms. Indeed, the chief executive didn't even reply to correspondence from the local health council, the statutory NHS watchdog, inviting him to meet to discuss the scheme.

In relation to the two infants who died, blame for their deaths has not been attributed to individual GPs or ADOC. However, it would have been at the very least reassuring for their parents had they been able at least to talk to a GP, let alone have a GP turn out, to three urgent calls made to the service.

If Dr Hambly had even bothered to come to meetings on the subject, he would have heard that I support the principle of a GPs' co-operative. And where it is run efficiently, with direct access to GPs over the phone and guaranteed call-outs in urgent cases, it is proving successful.

But in Ayrshire complacency and arrogance have meant that genuine criticisms have not been taken on board and further blunders have occurred. That is why the health board set up its review which has made many proposals on how ADOC can and should be improved.

It would be more helpful if Dr Hambly or one of his fellow directors would let us know that ADOC will immediately accept these recommendations so that the service really is as good as it can be.

George Foulkes, MP,

House of Commons. May 5.