PCOs must sort out their part of the enhanced services bargain
One of the main selling points of the new contract was the promise that it would allow GPs to control their workload and to have a price put on any 'new' work. Enhanced services exemplified this principle. Unfortunately, funding for enhanced services is in a mess. PCOs are wanting GPs to provide such services but cannot sort out the funding as they are already facing shortfalls in other areas of their budgets.
Most GPs are giving their PCOs the benefit of the doubt. They are maintaining current services for free in the hope, and expectation, that they will eventually be properly paid for providing them. Crunch time seems to be June when the LMCs conference is likely to take a strong line and may well advise GPs to stop doing free work from then.
For many GPs this will be easier said than done as their professional instincts will always drive them to do what seems best for their patients first, with what is best for their pockets a poor second.