Some practices will lose huge sums from the move to raw prevalence. The expectation was that PCOs would discuss alternative revenue streams, such as local enhanced services, to ensure practices were not forced to cut services. But in some areas, particularly in London, this has not happened.
The GPC and Londonwide LMCs recently met Mr Bradshaw to discuss the issue. GPC chairman Dr Laurence Buckman described it as a 'very helpful and positive conversation', and said the minister 'agreed that this was not what had been intended'.
Dr Buckman and NHS Employers' chief negotiator Dr Barbara Hakin have now written to all PCOs to remind them of their responsibility.
'The letter hasn't fallen on completely stony ground,' he said. 'But we're very aware there are PCOs that have still had no conversation.
'We are happy for any practice that hasn't been engaged to let their LMC know, and I will present a list to the DoH.'
Dr Buckman denied PCOs were acting out of malice, and said many simply didn't realise it was an issue. He stressed that practices were not guaranteed replacement of all lost funding.
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