How would you like the money? http://www.direitoshumanos.aac.uc.pt/index.php/female-genital-mutilation-d761.pdf female symbol  But a Bristol GP, Dr Sheila Pietersen, warned that payments could deter some poor patients who genuinely needed to see a GP from attending and "may hinder the doctor-patient relationship". Dr Chaand Nagpaul, chair of the British Medical Association's GPs' committee, said the doctors' union opposed fees. "Charging patients would have adverse effects. We need to preserve trust between patients and their GPs," Nagpaul said.