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CAMHS won't see you now

GPs shun PCTs driven by obsession with targets

GPs have lost faith in primary care trusts because their judgments are being overridden by NHS managers obsessed with meeting Government targets, a report has concluded.

The report from the GPC, NHS Alliance, RCGP and

National Association of Primary Care last week urged ministers to change star ratings for PCTs so they address a spiralling

decline in GPs' involvement.

It called for changes to local services to be led by clinicians and supported by managers, not the other way round, and for the Department of Health to allow PCTs to develop three-year plans that allow for financial balance at the end of that period, not every year.

Dr Michael Dixon, chair of the NHS Alliance and a GP in Collumpton, Devon, said managers and clinicians had different priorities.

'The flaw in the design of PCTs is they are allowed to become managerially dominated, over-performance-assessed and reined in by strategic health

authorities and the department.'

The report came as trusts warned of an exodus of GPs from board positions unless their remuneration was improved in line with the 12 per cent rise in the new contract.

Dr Phil Yates, professional executive committee chair of South Gloucestershire PCT, said: 'If GP wages generally go up it would be a surprise if PEC chairs didn't feel what they were bringing in was of equal value. They should be paid a

generous uplift.'

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