Clinical points 10% harder to achieve

Practices that scored fewer than 400 of 550 clinical quality points will have to work at least 10 per cent harder to earn the same income from the revised framework, according to the BMA.

Six per cent of practices scored below this level in 2004/5.

Thresholds for many of the existing quality indicators have been raised to 40 per cent from 25 per cent.

The majority of existing indicators keep an upper threshold of 90 per cent, although indicators where the upper threshold was lower have been raised in line with 2005 UK average achievement.

Jon Ford, head of the BMA health policy economics research unit, said: 'High performers will be affected very little, but the lower you go, the greater the effect.'

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