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A PCT heading for a £31 million deficit this year will have to make huge cuts to services and move more work into primary care, the Audit Commission has reported.

Hillingdon PCT in Middlesex was condemned by the district auditor for having 'failed to control its spending'.

It said the PCT had to redesign services, working in partnership with local health bodies and GPs, to hit a target set by North West London strategic health authority to cut the deficit to £12 million by the end of 2005/6.

Dr Jim Kennedy, a GP in Hayes, said many of the PCT's problems were down to the 'Heathrow effect', with large numbers of refugees and a high number of children in care.

The PCT said it was addressing the points made by the


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