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At the heart of general practice since 1960

Practices may go bust without premises cash

I hope many colleagues and the GPC will have taken note of Dr Bob Button's concerns about funding for premises under GMS2 (Features, May 10). Together with other 'done deals' that seem to be unpicking by the minute, this raises serious concerns for the future of general practice.

How much of the increased profits we have been promised by our negotiators have they given away by agreeing to 'PCOs considering in the light of the funding available the degree to which they can contribute to cost- and notional rents, rates, sewerage and service charges'.

These are substantial costs for most practices, amounting to tens of thousands.

If PCOs cannot or will not continue to find the money to reimburse these costs in full, it could tip some practices into insolvency. Given the state of many PCOs' finances this must be a very serious concern for many practices.

How many more surprises are in the pipeline about which we haven't yet been told?

Dr Michael Blackmore

Ringwood, Hampshire

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