Now, a top 10 list of cost-cutting measures for PCTs says they should ‘consider giving notice to PMS contracts, where practices are not seen to be offering value for money’ according to Nottinghamshire LMC.
Chris Locke, Nottinghamshire LMC chief executive, said that he had not yet seen evidence of PCTs revoking contracts, but the tone of a letter sent by East Midlands SHA chief executive Dr Barbara Hakin to local PCTs had caused alarm. If contracts were revoked many GPs would see it as a ‘statement of war’.
‘PCTs are reliant on GPs to make a success of practice-based commissioning (PBC), which is key to bringing the NHS into financial balance. This is the wrong time to start annoying people,’ he said.
‘The knee-jerk reaction of some of our members was to use PBC as a bargaining tool when they read the letter.’