GPC negotiators expressed anger at the government attempts to claw back investment in general practice by freezing core pay and cutting enhanced services.
Chairman of Scottish GPC Dr Dean Marshall said: 'How can we continue to deliver the same level of services with decreasing resources and increasing costs? We must make some hard decisions this year to ensure we are able to continue to provide excellent levels of care.'
Scottish practices will lose four directed enhanced services (DESs) worth £12,000, introduced for 2006/7, because the Scottish Executive has decided to only continue with the access DES in 2007/8 (Practices lose up to £30,000 in DES cuts - GP, 6 April).
Dr Marshall said GPs must be wary of attempts by NHS boards to commission poorer alternative services.
'Boards do not like DESs. It stops them from game playing and trying to bully practices,' Dr Marshall said.
He urged LMCs and practices to ensure local agreements did not expect them to do work that was not properly resourced.
GPC negotiator Dr Peter Holden said GPs had to learn to reject unpaid work.
'The profession will start to say that we'll look after patients but if a primary care organisation wants this, that or the other then show me the resources. No resources equals no do,' he said.
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