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.