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GPs divided over big contract pay rises

Seven out of 10 GPs are concerned about the confusion over which patients they can exception report from quality framework targets. The concern was most acute among inner-city GPs, 77 per cent of whom said they were worried.

The result confirms a smaller Pulse survey on the issue last month. It found two-thirds of GPs expected some conflict with their PCO over exception reporting.

GPs called on the GPC to provide extra guidance on the issue, but negotiators said LMCs would have to provide the answers as each PCO may have a different approach.

Dr Alastair Mackereth, a GP in Oswestry, Shropshire, said his practice may not bother to exception report: 'I'm sure we'll be able to cope if we have to. If people set us hoops, we'll find our way through them, but we may not even bother. It depends how much money is involved.'

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