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Dispensing GP

I'm dismayed by the complexity of the new contract and remain to be convinced that modifications and extending PMS would not have been better.

It is very challenging and the jury's out on whether it's going to be successful.

We did a quantification exercise and found we were hitting 735 quality points already. We plan to get it up to 1,001 by changing the way we record things on computer templates and introducing new things into our clinical protocols.

In the next two to three years we hope to establish 'the project' which will be a chronic disease management recall-based managed system and get our points up to 1,050, but getting to 1,001 should be easy in the short-term.

The project will involve a chronic disease management clinic with the number of appointments moulded around staff capacity for that week.

We employ our own community nurses as well as practice nurses so we have a variety of skills that will allow us to carve up the workload. The aim is to alter chronic disease management reviews so tests and routine investigations are done before they see the GP.

We want to manage the care of people by trying to amalgamate their needs rather than holding single disease clinics.

All GPs in our PCT are opting out of out-of-hours but I will work shifts, as will most of my partners. I don't want to lose that acute edge and it's nice to have the £6,000.

Dr David Bevan

Upwell, Cambridgeshire

Practice profile

Rural, dispensing, PMS

·5 whole-time equivalent GPs

·1 nurse practitioner

·1 nurse practitioner in training

8,300 patients

Quality points aspiration

1,001

Predicted income rise

£31,000 for the practice

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