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GPs buried under trusts' workload dump

'Negotiate centrally for all PMS practices'

The GPC should negotiate centrally on behalf of PMS practices if the Government continues to insist on dictating national terms, GPs agreed.

Negotiators were also instructed to ensure PMS GPs switching back to GMS would get the minimum practice income guarantee, equitable access to enhanced services and protected superannuation.

Dr Kamal Sood of Northamptonshire LMC said his PMS practice had come up against a brick wall when it tried to negotiate new services locally.

He said: 'We have no flexibility, we have no innovation and in the recent two years we have had no opportunities for any growth.'

Dr Claire Stephens of Barnet LMC said GPs had been promised there would be equity between GMS and PMS practices.

She said: 'MPIG is to do with the preservation of equity between practices and is essential to the viability of PMS practices that switch back to GMS.'

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