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Transplants will not be PBC option

Ultra-specialist services such as heart and lung transplants will not be commissioned by GPs through practice-based commissioning, the Government has ruled.

The Department of Health last week announced it was releasing £277 million to fund conditions and procedures with a caseload of between 400 and 1,000 per year.

GPs had feared that small increases in the number of such procedures at a practice or within commissioning consortia could bust their budgets.

Dr Mike Dixon, chair of the NHS Alliance and a GP in Cullompton, Devon, said there was a case for national agreements for some services.

He added: 'It shouldn't mean that general practice is not involved in some generic way, but it's not for every practice.'

The national commissioning plans will force providers to set up service level agreements which will be monitored and regularly reviewed for each


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