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Aspire to better cash-flow

I am sitting on the new contract implementation group for SE and SW Oxon PCTs. I have studied the contract in depth and am visiting practices locally to try to help them get started on the road to achieving the highest number of points from the quality and outcome framework.

One fact that seems to have been completely missed by most commentators is cash-flow. You aspire to X number of points. You receive a third of the total number of points aspired to, divided by 12 and paid monthly. All practices should aspire to the greatest number of points possible, the money then flows to the practice monthly and cash-flow is improved as is income which is superannuable.

If they don't achieve the points aspired to then all that happens is that the lump sum for achievement is reduced ­ there is no penalty.

If they over-achieve then the lump sum is greater. The only time this process can fail is if you achieve less than a third of the points you aspire to and end up owing the PCT. But bearing in mind that you would have to earn less than 350 points to do this, most practices should go for gold and aim for 1,050 points.

We shall be aspiring as near to 1,050 points as we are allowed to do in order to get greater cash-flow and more superannuation.

Dr Lisa Silver



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