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CAMHS won't see you now

A lot at stake in exception reporting row

Enshrining the principle of exception reporting in the quality framework was one of the highlights of the new contract.

GPs are rightly fed up with losing money because gullible patients have lost faith in MMR and with being accused of mercenary intent when they invite a woman for a smear. It was a victory for GPs and a triumph for common-sense ­ albeit one not extended to childhood immunisations.

But just as the details are being thrashed out on the final guidance, crucial differences are beginning to emerge: exception reporting could be a focus for fraud spotchecks; simple failure to respond to invitations might not count.

The row rumbling on over exception reporting proves that there is still plenty of room for dissent ­ informed or otherwise ­ between GPs and managers over exactly what has been negotiated in the contract.

GPs will hope it is the exception not the rule.

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