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At the heart of general practice since 1960

BMA presses Government to reverse cut in registrar training

Practices could be run 'by large, branded monopolies' under the Government's agenda for the health service, the NHS Alliance claims.

Chair Dr Mike Dixon said policies such as increasing plurality of providers, patient choice and the sale of goodwill encouraged private firms to 'cherry pick the most profitable services'. Such a move would lead to fragmentation of care, he added. 'Looking at what has happened in the private sector, we have now got huge branded multi-nationals like Starbucks and Boots,' he said.

'As things stand at the moment there is nothing to stop primary care being run by such firms that we as GPs have sold out to.'

GPs needed to get involved in practice-led commissioning to stave off the threat, Dr Dixon, a GP in Cullompton, Devon, added.

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