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PMS earning power is under threat

PMS practices are being warned that their earning power could be under threat as part of a 'fundamental review' of funding arrangements.

The review, signalled by the White Paper, is expected to address the pay disparity that has developed between GMS and PMS practices.

Dr James Kingsland, chair of the National Association of Primary Care, said practices could have to justify their income by showing what extra services they provided.

'If a practice is doing the same as a GMS practice down the road [and earning far more] they would have to demonstrate their worth ­ and why not?' he said.

The White Paper said the review would address the fact PMS practices had often developed innovative services but were not always rewarded for attracting new patients to take advantage of them.

It said: 'We would like all practices ­ whatever their contract type ­ to have a real incentive to take on new patients where this is what people choose.'

The review, which will report early in 2007, may look at how to pay PMS GPs on the basis of their actual number of registrations.

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