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PCTs in Birmingham are trying to cut the enhanced service rates for GPs who work on a drugs misuse scheme.

Birmingham LMC said the rate for the local enhanced service, provided by a 'considerable' number of practices, was lower than the benchmark pricing set in BMA enhanced service specifications.

GPs have asked for a retainer of £1,000 per participating practice plus a benchmark payment of £90 per patient per quarter. Instead the PCT is only offering around £75 per patient per quarter.

LMC medical secretary Dr Charles Zuckerman said GPs would withdraw from the service unless PCTs priced it appropriately.

Two practices have already said they will not participate unless the terms are improved.

'We've informed GPs we haven't approved the local enhanced service and it's up to them whether they participate,' Dr Zuckerman said.

'We hope the PCTs will see reason but we are getting some feedback from one or two practices saying they will pull out.'

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