The refusal has angered council leaders who fear "cost-shunting" andcuts to services as the capital's primary care trusts tackle a predicted120m deficit for 2006/07.
Merrick Cockell, London Councils' chairman, said the association wouldcontinue to press Hewitt for an urgent meeting. "These problems will geta lot worse before they can begin to get better. It is unacceptable forprimary care trusts to shunt health costs on to boroughs."
A survey by the association found 13 boroughs say they have been askedto provide a total of 15m to cover NHS costs, for example forpeople with learning disabilities where trusts are claiming social carerather than NHS support is needed.
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