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Independents' Day

GPs keep up pressure on enhanced services

GPs are stepping up the pressure on PCOs to sort out directed and national enhanced services amid growing evidence they are struggling to hit key deadlines.

Manchester LMC said the city's trusts were in danger of missing the February 1 deadline to set up a violent patients service. Secretary Dr Peter Fink said the PCTs had 'had 12 months of deadlines' and were no closer to setting up the service.

'At the moment we are agreeing to see these patients under a gentleman's agreement but from February 1 that will be withdrawn,' he said.

Gloucestershire LMC has told its three PCTs that GPs will stop doing certain work including insulin conversion, suture removal and smoking cessation, unless it is paid as a national enhanced service.

A ballot by Essex LMC showed 87 per cent of GPs in the county will stop providing such services unless they are funded. 'That gives us a strong negotiating stance with PCTs,' said LMC secretary Dr Brian Balmer.

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