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At the heart of general practice since 1960

GPs with good notes to miss out on £5,000

GPs who have already put in work to improve the quality of their patient notes will lose out financially.

Summarising patient notes in preparation for the quality and outcomes framework will net the average practice between £1,000 and £5,000 through the directed enhanced service on quality information preparation. But practices whose notes already meet the required standard will not receive any money in recognition of previous work.

GPC member Dr Chaand Nagpaul called the system 'iniquitous' and said it did not fit with the quality framework's recognition of prior achievement. Dr Nagpaul, a GP in Stanmore, Middlesex, said: 'Any practice that has achieved the required standard should be eligible for that payment, regardless of whether it was achieved prior to the new

contract.'

Practices will qualify for the cash if they improve their notes by March 2005.

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