Enhanced service cuts forced in aftermath of PCT mergers

Enhanced services are being cut because of PCT reorganisation, GP leaders are warning.

They fear the new larger PCTs which took over this month will see amalgamations of former trusts as a chance to cut local enhanced services (LESs) or  pay.  

PCTs that merged as their number was halved from 303 to 152 this month were often paying different fees for the same services, or required different levels of work under similar deals.  

Many also commissioned unique LESs not available in neighbouring PCTs.  

In Sheffield, where four PCTs were amalgamated, the new organisation is understood to be considering plans to ‘centralise’ all enhanced services.  

GPC member and Sheffield GP Dr Trefor Roscoe said: ‘Now we have one PCT there are anomalies in the levels of service and payment for some services.’  

GPC negotiator and Leeds LMC chairman Dr Richard Vautrey said all areas where reorganisation had occurred were at risk of cuts.  

‘In Leeds there are different enhanced services arrangements between the old PCT areas,’ he said. ‘It is inevitable there will be some coalescing of that.’  

He said that it would be harder to retain services in areas such as Sheffield where DoH turnaround teams were tackling deficits.

Have you registered with us yet?

Register now to enjoy more articles and free email bulletins


Already registered?

Sign in

Follow Us:

Just published

Sign outside BMA House

GP suicide sparks calls for measures to protect doctors from spiraling workloads

The government and policymakers must do more to safeguard doctors and NHS staff from...

Talking General Practice logo

Podcast: Living with long COVID

In August we’re bringing you some of the best interviews from series one of the podcast....

NHS sign outside a building

Surrey GP took her own life after her job 'became overwhelming'

A Surrey GP, described as a 'dedicated, passionate and much loved' doctor, has taken...

Jeremy Hunt

Hunt tells Tory leadership hopefuls to halt pension tax charges on doctors now

Former health and social care secretary Jeremy Hunt has called for an immediate suspension...

GP in consulting room

GPs forced to prescribe antidepressants to young people denied mental health support

GPs are being forced to prescribe antidepressants to children and young people who...


Babylon accounts cast doubt on future of GP at Hand

NHS GP services for more than 100,000 patients registered with the controversial...