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Go-ahead for bowel cancer screening

Many PCTs will fail to meet their minimum spending targets for enhanced services.

GPs said trusts have either not commissioned enough services or capped activity at too low a level. Trusts that fail to meet their spending floor could lose any money they do not spend this year.

East Lincolnshire PCT last week admitted there will be 'some slippage' in its spending.

Dr Russell Walshaw, medical secretary of East Yorkshire and Northern Lincolnshire LMC, said the shortfall will be 'a large sum of money'.

He predicted underspends in many areas and said these could be related to inappropriate 're-badging' of existing services as enhanced.

Essex LMCs chair Dr Brian Balmer said he 'strongly suspected' some PCTs were underspending and could be forced to top up investment before the year-end.

The NHS Confederation said enhanced service spending was being checked by strategic health authorities and the Technical Steering Committee.

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