City GPs win in GMS formula review

Practices in areas of high population density, with high staff costs and rapid patient turnover would be the main winners under proposed revisions to the new contract.

A decision on whether to include weighting for rurality will affect only the degree to which these practices benefit.

Without a rurality factor, practices in the highest quartile for population density in England and Wales would receive an average 8 per cent increase in weighted list size.

Practices in the top quartile for the number of registrations in the last 12 months would receive a 7 per cent boost to their weighted list, and those in the top quartile for staff costs would receive a 6 per cent boost if the proposals are accepted.

London practices would receive an 8 per cent average increase in weighted list and practices in the DoH's 62 spearhead PCTs an average of 3 per cent.

If an additional rurality measure is included, these figures would all be roughly halved.

Practices with a high proportion of elderly patients and practices in areas of low population density appear to lose out.

Without a rurality factor, practices in the highest quartile for patients over the age of 65 would see weighted lists cut by 4 per cent. Practices in the lowest quartile for population density would see weighted lists fall by 7 per cent. Again these figures would be roughly halved if a rurality measure were included.  

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