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Scots alone in getting new CVD pay

Scottish GPs will be paid for implementing new guidance on cardiovascular disease ­ but not GPs elsewhere in the UK.

The average Scottish practice will earn £7,600 under a new directed enhanced service for setting up a cardiovascular risk register for patients aged 45 to 64.

Practices will have to record blood pressure, smoking, BMI and family history in everyone without a record of blood pressure or smoking history in the last five years.

The enhanced service follows demands last autumn from Government heart tsar Dr Roger Boyle to pay GPs for assessing cardiovascular risk (Pulse, 8 October).

But GPs in England will not get payments for drawing up registers, even though they are advised to do so in the latest Joint British Societies' guidelines and to implement the new NICE appraisal on statins.

GP cardiovascular experts criticised this failure. Dr John Ashcroft, CHD lead for Erewash PCT, said: 'This is a good way to reduce health inequalities, by picking up at-risk patients.

'But finding all these patients is a lot of work which GPs should be paid for.'

Dr Terry McCormack, chair of the Primary Care Cardiovascular Society, said: 'It would be preferable if we were reimbursed.

'But I think this will come for English GPs ­ the next round of QOF is likely to include payment for CV risk registers.'

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