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Even list winners distrust their luck

Even GPs whose practices would be among the small number of winners using the Carr-Hill formula say they may opt for the income guarantee alternative.

Dr Gerald Spence said he was deeply sceptical about any pay offer based on the discredited system. His practice was given a tiny positive ratio, despite being in Glasgow, the UK's unhealthiest parliamentary constituency.

'Carr-Hill is a load of rubbish as far as I can see. It's not helping areas that need to be helped,' he said.

'I want to know what has gone wrong. I am never going to trust these things until I can put the figures on to my practice.'

Dr Douglas Glass, a GP in Ballater, Aberdeenshire, said he would be better off under the income guarantee plan, even though his weighted list jumped from 2,100 to 2,700.

'That option would be more attractive than the present system on offer but it's extremely confusing,' he said.

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