LMCs are pushing for local enhanced services (LESs) based on the Choose and Book, access and practice-based commissioning (PBC) DESs with inflationary uplifts to the 2006/7 rates.
They are negotiating variations to the schemes to bring them up to date or to align them with local priorities.
However, LMCs say that some practices will refuse to re-engage with Choose and Book even if PCTs offer funding through LESs.
Wessex LMCs chief executive Dr Nigel Watson said: 'Usage has dropped off and even with local incentives some practices may continue to refuse to do it.'
What do you think? Comment below or email us at firstname.lastname@example.org