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1d insert R for river and you get EXCERPT, a "passage"
10a anagram G(eorge) R(ex) with "under a".

Sorry, no idea on the other two.

20.MAN (chap) in A LAC(e) (doctor as a verb)
5. Go west means to die or be destroyed + the expression ‘go west young man’
1. Excerpt (passage) would result from the insertion of R
10. GR (George Rex) + (under a)*

Well done, jono, but how does "appears" work in 5?

I think it’s just that ‘go west’ comes/appears before ‘young man’ in the expression. I could be wrong

Thanks all,.makes.sense.

28a. Spare cold shoulder
SLIGHT

6a. Lowest cipher
ZERO

10a. Record errors expected from sports equipment
EPEE

16a. Charges for second fondle!
CARESS

Parses for the above please.

28 Double definition, spare/slight/lean etc and Slight, cold shoulder, ignore etc.

6 Double definition...

10 EP, record, EE errors excepted (abbreviation in Chambers, your 'expected'; threw me!) Epee, sword, sport equipment.

16 Cares, charges (in Chambers) and S, second. Caress, fondle.

Thanks Malone... Re 10...pologies...how ironic that my phone autocorrected "expected" to "excepted".

Thanks, whetstone. Autocorrect has a lot to answer for at times!