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Gold, incentives and meh

Enhanced service victory for GPs

GPs in Cheshire have exposed the ineptitude of their PCT after winning a dispute over enhanced services funding.

North Cheshire LMC locked horns with Warrington PCT over whether minor surgery work carried out by a consultant should be classed as an enhanced service.

The LMC argued that because there had been no tender for the work, it should not count.

But the PCT disagreed and elevated the dispute to the Implementation Co-ordination Group. It ruled in favour of the LMC. The PCT then appealed the decision ­ and it lost again.

But in a farcical twist, the trust discovered it had been a funding a raft of enhanced services that it had not previously counted in the spending floor calculations. So it did not have to invest more.

Dr Peter Morgan, honorary secretary of North Cheshire LMC and a GP in Runcorn, said he had been surprised the PCT challenged such a clear-cut case.

He said: 'The left hand didn't know what the right hand was doing as part of the calculation hadn't been done.'

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