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GPs buried under trusts' workload dump

Enhanced services: 'GPs' arms twisted'

Dr James Cave has accused his PCT of 'twisting GPs' arms' over how it will spend its enhanced services budget. Dr Cave, a GP in Chieveley, Berkshire, said Newbury and Community PCT was trying to include existing diabetic clinics provided by GPs in its enhanced services spending floor – and not provide any new funding.

The trust told local GPs if they did not agree with the plans the service would have to be cut, he added.

'We are having our arms twisted by the PCT to pay for secondary care dietitian services done by GPs out of our enhanced services money. I think it's a nonsense. It's very clear what can and cannot be used. This is not one that is covered by the new contract.'

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