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Can we appeal over our global sum?

In common with your magazine, I too have been looking at our contract. In 2008, the Government managed to dock about £11,000 from our QOF (from 999 points in 2007) with the loss of all 58.5 points for access.

I do not deny that we have had problems but, as a high-demand practice, it is difficult to satisfy the public in these 'complaining culture' times. I wonder how MPs would do regarding access times?

But I also checked our global sum payment, and found ours was just £54 per patient, compared with a Scotland-wide average reported to be £59 per patient.

I accepted this at the time, but given large increases in expenditure and falls in income, our global sum for a four-doctor, 7,600-patient practice seems about £38,000 light. Do we have any appeal mechanism?

From Dr Dr John Leonard, Falkirk, Central Scotland

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