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CSM to examine data on valdecoxib link to CVD

The GPC is to evaluate every PCO's enhanced services spending in a move to define GPs' core work more clearly.

Negotiators said they would determine whether a PCO had spent its allocation rightly or wrongly to help clarify what was an enhanced or essential service.

The move goes part way to meeting the annual LMCs conference demand this summer for the GPC to draw up a comprehensive list of GPs' core work.

LMCs demanded the list after PCOs refused to commission many enhanced services, claiming the work should be counted as essential services.

But negotiators refused the demand. They said the latest move would not name and shame PCOs that had spent enhanced services money wrongly, or draw up a specific list of core services.

'It's very difficult to come up with a national list of what is an enhanced service and what isn't, particularly with local enhanced services,' said GPC deputy chair Dr Laurence Buckman.

'But looking at the way PCOs have spent their floor will help define for GPs,

LMCs and PCOs what should be regarded as an enhanced service.'

Wessex LMC chief executive Dr Nigel Watson said the move would help PCTs develop a consistent approach.

He said: 'For example in some PCTs prescribing incentive schemes are classed as enhanced services, and in some they aren't.'

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