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CAMHS won't see you now

Cash-flow fear over quality pay setback

GP negotiators have failed in their bid to bring part of GPs' quality reward payments forward raising fears that high-

aspiring practices will face a lag in cash-flow in the first year of the quality framework.

Negotiators held discussions with the NHS Confederation about bringing a 'significant' amount of the money forward from April 2005 to 2004.

The move came after GPs complained the preparation and aspiration payments would not be enough to tide them over and practices aiming high could run up big debts.

But Dr Simon Fradd, joint-deputy chair of the GPC, said the timing of payments would remain as planned.

He insisted: 'It's all new money so it will not be a

problem. You get two bungs ­ £3,000 a year in quality

preparation points and a third of the money in aspiration payments. You can also get money from enhanced services for quality information preparation.'

But GP accountants warn-ed GPs would be put off

aspiring high on the quality ladder.

Arthur Dixon, a GP accountant at Deloitte and Touche, said: 'It is additional money but the question is do GPs have to spend more money before they ultimately get what they are owed?'

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