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LMC representatives in Wales were in mutinous mood ­ Rob Finch reports from their annual meeting last weekend

Local health boards are ignoring GPs and doing unprecedented damage to the NHS in Wales, GPs have argued.

LMC representatives laun-ched a series of stinging attacks against health boards as they passed a total of 23 motions condemning misguided policies and lack of communication.

GPs said boards were taking unilateral decisions about practices' working conditions without consulting with

LMCs or any other GP representatives.

They also attacked managers for capping enhanced services spending and for victimising practices with full or closed lists.

Dr Andrew Dearden, chair of GPC Wales, said: 'Some boards have probably done more damage to NHS relationships that any other body I have known. The Welsh Assembly Government has asked for time to fix them.'

Dr Noel McLoughlin, a member of Bro Taf LMC, said GPs had no way of influencing managers. He told the conference: 'We have nothing. It's an absolute disaster.'

Dr Greg Graham, a GP in Cwmbran, Gwent, used a dancing analogy to express his frustration at relations between the two sides. He said: 'We're doing a cha-cha-cha ­ going backwards more than forwards. We should be doing the lambada ­ working more closely together.'

GPs said boards had capped enhanced service funding at only half of historic levels.

Some boards had also decided to cap enhanced services four months into the financial year, so practices that had invested in equipment and staff were out of pocket.

Dr David Roberts, chair of Dyfed Powys LMC, said GPs needed to 'stand together' and refuse to work for free.

Dr David Bailey, a member of GPC Wales and a GP in Caerphilly, urged GPs to use the Freedom of Information Act to discover how much each LHB had to spend on enhanced services. 'This has got to change,' he said.

GPs also raised concerns about tactics used by LHBs to stop practices closing lists.

Dr Ian Millington, secretary of Morgannwg LMC, said he had been forced to stop his full list policy after a visit by the LHB chief executive.

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