I was amazed to read the proposed rethink on the global sum (GP, 16 February).
More money for those with a high turnover of patients, in inner cities, less for those looking after the elderly.
Tell me, do the negotiating team all work in university cities? Young patients, with mainly contraceptive needs, 100 per cent turnover every three years (along with the 20 weeks of the year the students are back with their parents and seeing other GPs)... Win, win win!
My small, suburban practice has the highest percentage of elderly in the old PCT area, and is low turnover... Lose, lose, lose!
We earn about 20 per cent of our core income (excluding the quality framework) from the MPIG. It looks as though we may not only lose this but lose out on the recalculation as well.
Dr Clare Dyer