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No clawbacks on PMS baselines

The Government has warned PCTs not to take unilateral action to force efficiency savings on PMS practices.

The move guarantees PMS practices will not have their baseline budgets 'unpicked' as had been feared when a national review of PMS contracts was announced last month.

A joint statement by the Department of Health and the National Association of Primary Care warned PCTs that changes to contracts 'may only be achieved through proper consultation and negotiation with practices'.

It added: 'Additional efficiencies over and above that currently expected can only be achieved with the agreement of the practices concerned.'

Dr James Kingsland, chair of the National Association of Primary Care and a GP in Wallasey, Merseyside, said: 'This is not about clawback. Nothing should be unpicked.

'It's a PCT's role to make sure they get quality and value for money. It's not about destabilising PMS and seeing if we can move it back into GMS.'

The department insisted it would be looking to PCTs to deliver 'improved efficiency' while delivering more investment through the new directed enhanced services.

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