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Is there a subtle plan to make us withdraw cytology services?

I am concerned about the financial rewards for providing a cytology service under the new contract. Adding the 1.1 per cent of the global sum and the reward for achieving a maximum of 22 points, an average GP will still only get around £1,650 a year ­ about half of the current reward of around £3,180.

Having estimated the combined costs of providing a cytology service, it appears we will lose several hundred pounds a year ­ at least until the third year when we might break even.

We could actually save money by declining to provide this service and directing our energies elsewhere.

Is there a subtle plan to encourage GPs to withdraw from providing cytology services to their patients, although this is really a service that should lie at the core of what we do?

Dr Sheena Milne


West Lothian

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