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Enhanced services deals put GPs off

Primary care organisations are attaching restrictions to enhanced services which mean it is not worthwhile for practices to take on the work.

GPs have reported being offered only one-year contracts or deals that put a cap on the number of patients they can treat.

Dr Byron Evans, a GP in Gorseinon, south Wales, said a local minor surgery enhanced service contract had to be renewed annually.

'For us to comply with the new regulations it would mean a considerable capital investment,' he said.

The contract would have to be for three years to be worthwhile, Dr Evans added.

GPs are still in talks in Glasgow over a proposed drug misuse scheme which would only pay GPs to treat existing addicts.

'We are obliged to treat new drug addicts when they are ill but not to give them substitution therapy,' said Dr Alan McDevitt, chair of Glasgow LMC.

Dr Russell Walshaw, medical secretary of East Yorkshire and North Lincolnshire LMCs, said many PCOs were capping minor surgery procedures, leaving GPs unsure what would happen if the quota

was met halfway through the year.

GPC negotiator Dr Laurence Buckman said GPs were under no obligation to sign up to 'daft deals'.

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