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Gold, incentives and meh

Trio of blows to GPs' PBC involvement

GP involvement in practice-based commissioning is looking shakier than ever after a trio of blows hit the scheme.

The Department of Health last week suspended the Payment By Results tariff system because of 'inaccuracies' in the pricing of hospital procedures.

An NHS Alliance survey of 109 PCTs then revealed 80 per cent thought acute trusts would 'game' Payment By Results to maximise income.

And GPC guidance for GPs revealed a litany of uncertainties and pitfalls for GPs to beware of.

Practices would be unlikely to be able to invest now to save money in the long-term, the GPC said, as most trusts' priority would be to break even.

Dr Mike Dixon, chair of the NHS Alliance, said GPs were 'a bit sunk' without the Payment By Results tariff as they could not work out a budget or where to make savings.

GPC guidance on PBC is available at

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