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'Do more and work longer hours or lose PMS contract'

Ninety PMS practices in Suffolk have been threatened with having their contracts stripped if they don't agree to open longer and take on extra work.

The county's PCT last week said they were not offering

value for money.

If they do not agree the new terms by the end of February, they will either lose their contract or be forced to move back to GMS on 1 January 2008 without the protection of the minimum practice income guarantee (MPIG).

Dr Claire Giles, chair of Suffolk LMC, said GPs felt as if a gun had been put to their heads.

She said: 'It seems they are not going to accept not changing. It makes us very uneasy.'

Julian Herbert, Suffolk PCT director of finance, said the move was aimed at ensuring consistency across the county.

He said: 'PMS is the preferred option but reverting to GMS control is another option if we cannot reach agreement.'

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