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The planned national screening programme for colorectal cancer is set to have a 'substantial impact' on GP workload, according to many practices involved in screening pilots.

A report on the impact of the pilots found 55 per cent of participating GPs wanted extra pay and resources when screening was rolled out nationally. And 40 per cent rated the amount of extra workload as 'substantial'.

Co-researcher Professor David Weller, professor of general practice at the University of Edinburgh, said: 'Some thought would need to be given to the extra burden for GPs. Many primary care personnel, particularly GPs, held strong views about the capacity of primary care to accommodate a further form of cancer screening without addit- ional dedicated resources.'

Dr Pawan Randev, cancer lead for Ealing PCT and a sessional GP in Buckinghamshire, said: 'It may be better to have this as a Q&O item to involve as many practices as possible.'

The Government-commissioned evaluation, published in this month's British Journal of General Practice, sent questionnaires to 119 practices.

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