Several PCTs are considering using reviews of PMS contracts to cut practice incomes.
Laurence Slavin, a partner with GP finance specialists Ramsay Brown, says that this could potentially cut some GPs' profits from £110,000 to £60,000, or by 45.5 per cent.
He warned that such cuts would drive doctors out of general practice. ‘I don't think GPs are so worried about their patients that they're going to work for less than should be working for,' he said.
Haringey PCT, for example, decided in September 2007 that it would use the review to close the income gap between GMS and PMS practices, and ‘move towards a more even distribution of pound-per-patient ratios'. It proposed a target of £81.07, the current average for all the area's practices.
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