Plans to vaccinate healthy children under the age of five against swine flu are in disarray after doctors refused to sign up to a deal.
GPs are already immunising people with health problems and pregnant women.
But the BMA and government have ended talks on children after they failed to agree a deal.
Health visitors and district nurses are now to be asked by local NHS managers to step in – but the programme may not now start in December as planned.
However, the vaccination of the first wave groups, which also include health workers, is continuing as normal as they were covered by a deal that was brokered in early autumn.
It is thought the latest talks broke down over the amount of flexibility the government was willing to give doctors over the rest of their workload.
Negotiators had offered doctors £5.25 per dose – the same as they are getting for the first priority group.
Read more at BBC Health.