The frustration was twofold, firstly, unpicking a knotted lump of fishing line is difficult and messy. Secondly, the time taken in this pointless activity is time taken away from trying to catch fish.
I have seen a number of practices recently in the London area which tell me the same story. Their payments from the PCT are a mess. They are not being paid correctly for the work they are doing, sometimes not paid at all, and sometimes paid without any explanation as to what the payment is for. My clients tell me that when they question the PCT, they are either fobbed off or left with their questions unanswered.
There is a history of not taking the finances seriously with some London PCTs, I know this because I have had my share of scraps, including one where no-one at the PCT would look at the issue I raised until the local MP got involved.
Keeping on top of the payments is important. Not keeping on top of it creates a disproportionate amount of work in having to sort it out. So much so, that it can interfere with keeping the regular payments accurately up to date.
My concern is that the accounts departments of PCT are building large 'bird's nests' that will take someone (presumably their post 1 April 2013 successors) an enormous amount of time to resolve. And of course in the meantime, GPs are not being properly paid.
I suggest that practices get stroppy about this now, and send weekly emails/written reminders where they are expecting answers, and if no progress is made, head up the chain to the chief exec and then to the local MP. The bigger the mess the longer to sort out.......