Letters, calls and emails: What is this mystery global sum top-up?

Dear Editor

I read with interest the article 'NI GPs stung by population explosion', and was particularly interested in the comment at the end of the article which stated that 'A different system operates in England and Wales where there are central top-ups to global sum funding, even if the population increases' (GP, 2 November).

Would the author be able to comment as to what he was referring to as I am not aware of any central top-up other than MPIG (which doesn't alter if your list increases).

This issue is extremely relevant to us as our list is increasing and under the basic GMS funding of £54 per head practices in England do lose money when their list increases. If there are other funds available it would be extremely helpful to know.

Grahame Dickinson, Executive manager, Harewood Medical Practice, Catterick Garrison, North Yorkshire.

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