Letters, calls and emails: More global sum cash for deprived practices

Dear Editor

I was disappointed that, again, Dr Laurence Buckman is misrepresenting the truth and suggesting that deprived practices are compensated from the global sum (GP, 9 September).  

Although the Carr-Hill formula does go some way to recognise the extra work load of deprived practices, this is not converted into additional income due to the under-funding of the global sum. Readers will remember what happened on ‘black Wednesday’ when this came to light.  

The upshot is that practices in deprived areas have a Carr-Hill factor greater than one but have a minimal or zero correction factor, whereas those in less deprived areas often have correction factors representing a significant percentage of their income.  

Even the DoH, in its White paper ‘Our Health, Our Care, Our Say’, recognises the effect of this iniquitous funding regime.  

I am not suggesting that some practices are over-funded, just that additional money must be added to the under-funded global sum so that additional work is truly recognised.  

Dr Grant Ingrams  


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