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CAMHS won't see you now

GPs reeling from lists shock

GPs have been left shocked and confused after BMA figures for their notional patient list size revealed far more losers than winners.

Practices in dramatically varying circumstances could face a drop in income, with some GPs telling Pulse their losses could hit £200,000.

Even practices that had expected to gain ­ those with many nursing home patients, high morbidity or in a rural area ­ were left reeling from disappointing figures.

Very few GPs reported a positive Carr-Hill rating.

The atmosphere of chaos grew after the BMA admitted 'hundreds' of GPs had jammed its helpline demanding an explanation.

The findings threatened to make a mockery of GPC claims the average GP pay rise would be 25-30 per cent over the next three years.

Dr Tony Snell, a member of the NHS Confederation's negotiating team, said he was worried about the 'accuracy of the formula' after a GP in a

deprived area with an elderly population told him he was only given a minimal uplift. He said: 'I'm worried there's been a mistake. I'm surprised about the practice allocations.'

GPC negotiators embarked on a damage-limitation exercise as evidence of the across-the-board losses emerged. They urged GPs to take into account quality pay, IT, premises and seniority pay.

GPC negotiator Dr Laurence Buckman said transitional payments meant no GP would lose out. 'GPs have got to look at the total practice

income,' he said.

Dr Peter Wilson, a GP in west London, said he may have to lay off staff after his six-partner practice was given a notional list of 10,151 when its actual list is 12,814. He said: 'We would need to make £35,000 each on quality to break even.'

Dr Prit Buttar, a GP in Abingdon, Oxfordshire, said his practice with 9,823 patients would be at least £138,000 down after it was given a notional list of 7,947.

Dr Brian Dunn, northern LMC secretary in Northern Ireland, said most practices were far below their actual list.

Dr Jonathan Harte, a member of Nottinghamshire LMC, said his urban practice's list had fallen. He said: 'This suggests our patients are easy. God help GPs in affluent areas.'

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