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At the heart of general practice since 1960

Signing on dotted line was all that mattered

Ministers are 'naive' if they expect PMS practices to offer radically different services compared to GMS, Dr Gavin Jamie believes.

He says his practice in Swindon took on salaried staff with its growth money, but is still 'not much different' to when it was GMS.

Any need to come up with original ideas on how to spend growth money evaporated when targets were set for the number of PMS practices and growth funds were rolled into baselines. Dr Jamie said: 'In the beginning schemes were imaginative but that stopped when there was the aim to sign on the dotted line.'

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