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LMC ultimatum on enhanced services plans

GPs are setting Christmas and New Year deadlines for primary care organisations to sort out their enhanced services plans amid mounting fears over the pace of contract implementation.

LMCs have cranked up the pressure, including making threats GPs would pull out of some services, after reporting that PCOs were sidestepping the issue or complaining they did not know what services they would be able to fund.

The BMA has also announced it will carry out a survey of enhanced services plans after LMCs flooded the association with cases of PCOs that are lagging behind.

GPC negotiator Dr Peter Holden said some PCOs were putting contract implementation in the 'too hard to do file'. He added: 'In a few it's sheer bloody-mindedness; in others they have staff for whom primary care is an alien culture.'

Manchester LMC has threatened three trusts in the city that GPs will withdraw some services when the contract starts next April unless the PCTs finalise their enhanced services plans by January 1.

LMC secretary Dr Peter Fink said the ultimatum had been issued to pressure PCTs into action.

He added: 'The track record locally with PCTs has not been great and they have not prioritised GMS issues.'

Wessex LMC has set a Christmas deadline for 19 PCTs to outline their plans for national enhanced services.

'There is a lot of talk and not a huge amount of implementation, said deputy chief executive Dr Nigel Watson.

Berkshire and Buckinghamshire LMC said it had set an early January cut-off date. City and East London and Camden and Islington LMCs also reported PCTs were unable to give assurances on funding.

Chair of City and East London LMC, Dr Kambiz Boomla said: 'We are putting pressure on them to deliver, but there

is a lack of clarity from


The Department of Health last week wrote to trusts to inform them they must have directed enhanced services in place by December 1.

Secretary of Nottingham LMC Chris Locke said he was concerned PCOs would then have no money left to pay for national enhanced services. 'There is some concern that there will be little money left for any other services.'

By December 1

Deadline for PCOs on:

 · Childhood immunisations

 · Flu vaccinations for over- 65s and at-risk groups

 · Minor surgery

 · Violent patient services

 · Quality information preparation

 · Support for access targets

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