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GPs face chaos over enhanced services

Enhanced services negotiations have descended into chaos during the first week of the new contract.

One PCT in Lancashire confirmed it was still seeking clarification from the Government on definitions before commissioning some local enhanced services.

In East Yorkshire GPs were holding crisis meetings to decide whether to stop providing some unfunded services.

And a row was brewing in Southampton over funding of two walk-in centres out of the enhanced services budget.

GPs have accused all 13 trusts in Cumbria and Lancashire strategic health authority of striking a deal not to commission local enhanced services.

The SHA denied the claim, but Lancashire LMC insisted the deal had been struck, while Burnley, Pendle and Rossen-dale PCT said trusts in the area wanted more clarity.

LMC secretary David Nobletts claimed PCTs had been told not to 'break ranks' on the issue. 'It's disgraceful,' he said.

Max Harrison, GMS contract co-ordinator at Burnley, Pendle and Rossendale PCT, told Pulse: 'What we don't want to do is double-fund practices.'

East Yorkshire LMC said a group of GPs in East Yorkshire PCT were threatening to stop providing leg ulcer care, chronic wound management and secondary care phlebotomy because they had not yet been commissioned.

Elsewhere, GPs in South-ampton were furious after the PCT said it would spend £1.7 million on walk-in centres, compared with just £128,750 on services such as CHD and smoking cessation.

Southampton GP Dr John Glasspool condemned the

plan as 'creative accounting'.

By Nerys Hairon and Joe Lepper

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