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Extra cash revealed for new patients and nursing homes

GPs would be paid 43 per cent extra for patients in nursing homes and 46 per cent more for patients who have been on their list for less than a year under the new contract.

Practices are also expected to spend just under half their global sum payment on practice staff expenses, according to further details released by the BMA.

The information emerged in annex D of the contract, which explains the complicated Carr-Hill formula to calculate GPs' notional list size.

New patients and those in nursing homes are estimated to have 40 to 50 per cent longer consultation times compared with other patients. But GPs with high turnover were split over whether the weighting was high enough.

Dr Kambiz Boomla, a GP in east London said he was glad list turnover had been included as a factor but he was still worried that inner-city GPs could lose out.

'I think 1.46 is fine,' he said. 'But my worry is that ethnicity and language have not been taken into account.'

Fellow east London GPs Dr Bhupinder Kohli and Dr Naomi Beer said the weighting was not high enough.

Dr Beer said: 'My impression is that new registrations are double the workload.'

Contract detail

due this week:

 · Quality framework guidance

 · Model salaried GP contract

 · Plans for directed enhanced services

 · 8 examples of typical practices

 · Patient survey questionnaires

 · Seniority payments profiling, and how Red Book will be mapped to global sum

 · Examples of out-of-hours schemes

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