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CAMHS won't see you now

No GPC guidance on 'grey areas'

GPs will be expected to use commonsense to decide when to provide 'grey area' services like suturing without pay after the GPC rejected calls for guidance.

Negotiators have decided 'pontificating from the centre' over what should count as a local enhanced service would only exacerbate confusion.

GPC deputy-chair Dr Ham- ish Meldrum said 'grey areas' accounted for just 6 per cent of enhanced service cash.

He added: 'Take suture removals – if the GPC says no GP should remove them without a fee you can see we get into all sorts of difficulties. In my practice if a patient missed their outpatient hospital appointment my practice nurse would do it.

'But if the hospital suddenly decided it wasn't going to do suture removals there would be a clear shift of workload that should be properly resourced.'

The GPC will instead encourage LMCs to share information about local deals they have struck.

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