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No reprieve on 48-hour access

The GPC has caved in to Government pressure and put 48-hour access in the quality and outcomes framework despite previously criticising the

target.

In addition to the 1,000 points up for grabs in the quality framework itself, GPs can claim 50 bonus points for providing and maintaining 48-hour access as long as quality does not suffer.

RCGP chair Professor David Haslam, visiting professor of primary care at de Montford University in Leicester, said the access marker was merely a political tool and was not evidence based. 'It's very clear there is a political driver that's not going to let go of this,' said Professor Haslam, a GP in Ramsay, Cambridgeshire.

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