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GP's stroke evening boosts Q&O score

The BMA is to tell the Doctors and Dentists Review Body that community hospitals will collapse into chaos unless GP pay and conditions for the work are radically improved.

GPC negotiators will set out the results of a survey of 192 GPs involved in community hospitals, which found some have not been getting paid at all for the work, while many others earn well below the minimum wage and BMA recommended rates.

Dr Peter Holden, who will give oral evidence to the Review Body next week, said he would make it clear what the consequences were of a failure to address the issues.

'They can either have a sensible deal or chaos,' he said. 'GPs will stop doing the work ­ it's already happening.'

The survey found GPs spend on average 11 hours per week at community hospitals, mostly working without sup-ervision.

In addition to clinical work many GPs also undertake managerial, administrative, clinical governance and teaching work, often without remuneration or protected learning time for these activities.

Dr Holden said the results had not changed significantly over the last 12 years.

'That's the degree of Government intransigence,' he said.

'I'm not going to let them get away with it this time. This is fighting talk.'

The NHS Confederation, which was undertaking a 'scoping' exercise into how negotiations over community hospitals should proceed, said it would give its view in a report to ministers 'shortly', but would not reveal what its report would contain.

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