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The GPC is giving up on trying to secure more cash for enhanced services because negotiations are not worth the effort.

Negotiators said this week they would focus in talks with NHS Employers on getting more money into global sums.

The move marks a significant change in strategy and could spell the beginning of the end for enhanced services.

Dr Hamish Meldrum, GPC chair, said there was 'little enthusiasm' for putting more money into enhanced services.

He said: 'They are a small proportion of the budget but they have taken up a disproportionate amount of time in trying to negotiate locally.

'In terms of the global sum, we have always said there was not enough money in the pot.'

Dr Meldrum said extra money for premises and quality were the other priorities.

Deputy chair Dr Laurence Buckman blamed lack of innovation by PCTs for the failure of enhanced services. But he said GPs had also not been determined enough over unpaid work.

He said: 'I'm disappointed GPs don't feel able to say

No and PCTs can't say Yes.'

GPs welcomed the change in approach and said they expected enhanced services to be superseded by practice-based commissioning.

Dr Harry Yoxall, secretary of Somerset LMC, said they were a 'useful tool but with a short lifespan'.

Dr Paul Roblin, chief executive of Berkshire, Buckinghamshire and Oxfordshire LMCs said rows over enhanced services had been 'time-consuming and pointless'.

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