Letters: GPs swallowing cost of increased workload

I read with interest - and want to congratulate the GPC - that aspects of the changes for 2009/10 will better reflect workload, not historic funding.

Getting rid of square rooting is well overdue. But we need to address the rising prevalence of most major diseases.

This is not reflected in funding, which is based on a relationship with average incidence, not absolute incidence.

So a 20 per cent increase in diabetes and workload/costs to hit targets has brought no new money over the past three years.

The National Audit Office would be proud of this level of productivity increase, but I am not sure that GPs can keep affording to subsidise PCTs in this manner.

Dr Ron White, Peacehaven, East Sussex.

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