AXA PPP have written to many senior consultants asking them to adhere to a fixed fee schedule which is the same as that imposed on newly appointed consultants in 2008. Those failing to acquiesce to AXA PPPs request have been told that their patients may be referred elsewhere when seeking preauthorisation from the insurer. The LCA has repeatedly opposed these restrictive actions of the insurers and do not believe that this PPP strategy is in the best interests of the patient. The LCA is actively supporting FIPO in its attempts to reverse this process. More details can be seen on the FIPO website.