GPs provide enhanced services without pay
Two GPs in three are choosing to provide some enhanced services free rather than let patient care suffer, Pulse's survey reveals.
GPs said they had been left with little option but to carry on providing services after their PCO failed to commission certain national or local enhanced services.
But many GPs warned the move was a short-term measure and they would stop doing the work unless their PCO agreed a suitable pay deal.
Dr Mark Jarvis, a GP in Sale, Greater Manchester, said he was still providing services for sexual health and multiple sclerosis, plus suture removal, nursing home care and some minor surgery.
'Ethically it's difficult to turn people away but we are assessing each case and seeing if it is something we or services elsewhere such as casualty can provide,' he said.
But Dr Jarvis said the practice would only carry on if the PCT agreed a funding deal. 'We are still awaiting clarification on that,' he added.
Overall, the survey showed most PCOs are commissioning at least some national and local enhanced services.
Nearly three GPs in four said they were doing enhanced services work and being paid for it.
Some 29 per cent of GPs said they had stopped providing some of the services they used to under the Red Book.
The survey showed nursing home and multiple sclerosis care, depression and suture removal were the least-commissioned services.