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GP plans rely on answers to vital questions

The new GMS contract is a reality and whether GPs voted Yes or No or abstained, they have to prepare for it.

This means sitting down with the practice manager, fellow partners and other staff and plotting the way ahead. There will be key questions to ask.

How are we going to tackle the quality framework? Are we going to opt out of out-of-hours? What enhanced services are we going to take on ­ if any? Are our IT systems and patient records up to scratch?

For many No voters, the question is likely to be whether to go PMS.

But GPs' plans will mean little until they get positive answers to several crucial questions. From PCOs: where is the enhanced services cash? From ministers: what happens if I switch from PMS to GMS and vice versa? And finally from negotiators: how are you going to make Carr-Hill work?

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