PCTs use performer's list to close practices

PCTs are using performer's list rules to oust GPs and close unwanted practices, a senior London GP has warned.

Dr Tony Grewal
Dr Tony Grewal

Londonwide LMCs medical secretary Dr Tony Grewal called removal from performer's lists the ‘latest bogeyman' in PCTs' performance management arsenal.

With PCTs also publishing balanced scorecards and threatening a growing number of practices with breach of contract proceedings, GPs now face ‘a three-pronged attack', Dr Grewal said.

Performer's list regulations state doctors can be removed if they are ‘unsuitable' or if there is doubt over the ‘efficiency' of their services.

It is the vagueness of these regulations that allows PCTs to abuse them, said Dr Grewal.

‘It is only the beginning. These [regulations] have been around since 2004 and PCTs are only just starting to flex their muscles,' he said.

An NHS London spokeswoman said individual PCTs must decide how to manage their performer's lists.

  • Email Tom if your PCT has been behaving in this way.
  • Read this week's GP dated 11 September for the full version of this story



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