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Target payments for vaccines should go

LMC members have voted overwhelmingly in favour of abolishing target payments for immunisations and replacing them with a graded system with exception reporting.

Dr Paul McNeilly, from St Helens LMC, told the conference that target payments 'have had and will continue to have adverse effects on the doctor-patient relationship'.

He said: 'Vaccine uptake should not be linked to GP payments. A change is long overdue.'

LMC members expressed anger that exception reporting was not allowed for immunisation services. They argued the contract ignored the views of parents who did not want their children vaccinated.

Dr Chris Walker, from Wolverhampton LMC, told delegates that 70 and 90 per cent targets were 'not acceptable' because small numbers made a big impact on success at achieving targets.

GPC chair Dr John Chis-holm urged members to accept the motion to abolish target payments.

LMC members suggested that a graded system could pay fees in proportion to the percentage vaccinated.

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