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Practices set to lose £5k over A&E plans

Practices are set to lose out on £5,000 per year as a result of a primary care trust's plans for GPs to work in A&E departments.

Greenwich PCT in south London has proposed using GPs to treat minor cases that should have presented in primary care as a means of improving access.

But to fund the plan, the trust wants to use all of the £5,000 per practice Investing in Primary Care money from the Department of Health, which was provided to improve access to GPs.

Joint-chair of Greenwich LMC Dr Rob Hughes said he had no problem with GPs developing a specialism in trauma management but the proposed new system would be self-defeating.

'While there is a shortage of doctors, GPs should be in their practices, not A&E,' he said.

'The paradox is GPs become less effective, doing lots of tests and X-rays.'

LMC joint-chair Dr Karim Jan-Mohamed said GPs mimicked the behaviour of hospital doctors and tended to 'over-investigate' when they were put in A&E departments.

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