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Asthma increases pneumococcal risk

Your story 'Carr-Hill may haunt GPs for years to come' (News, May 14) will no doubt cause some concern to your readers. I'd like to reassure them that although we have a limited timeframe for the formula review, which needs to implement changes from April 2006, we are moving steadily forward and are not experiencing any significant delays.

As part of the main GMS review, NHS Employers and the GPC have agreed a process for the review and discussions have been ongoing since the start of the year. We have a lot of work to do in the coming months and need to make best use of the time we have.

We are thoroughly examining all the factors in the existing formula and investigating a number of additional factors that could be included in a revised formula. We plan to move forward as quickly as we can so that we can allow plenty of time for detailed practice-level modelling ­ a crucial lesson which was learned in the last review.

We have a significant challenge ahead but it is one we are fully equipped to meet and I am confident we will deliver an even better formula in time for April next year.

Philip Grant

Chair of the Formula Review Group

NHS Employers

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