I have just received a letter from the head of primary care at the Isle of Man, advising that the out-of-hours work, which as I wrote last week was threatened with closure, will continue.
(Letters: 'OOH cut and replaced with paramedics)
But it will do so with a reduction in remuneration of between 3.2% and 42.8% (no, I didn't get the decimal point wrong).
The average reduction is 15%, yet there is no mention of any corresponding reduction in any other area of primary care.
We GPs will meet next week to discuss our response.
From Dr John McDonald, Douglas, Isle of Man
