Have you counted the true cost of the new contract?
Have GPs considered the financial implications of the new contract? Most practices will be faced with increased expenses. I estimate the following extra annual costs:
lsomeone to input computer data (£12,500)
lextra 16 hours of practice nurse time (£9,568)
lhalf a day of locum cover a week to fufill our 8am to 6.30pm in-hours responsibility (£9,100)
lreceptionist to cover the extra half day a week (£1,600)
lfunding previously provided for audits/ summarising of notes (£1,200).
llost incentive scheme payments (£3,000 per GP)
These costs amount to nearly £37,000 whereas a GP with an average list of 1,800 patients can trigger a maximum of £26,250 in the quality framework. The days of smaller practices are numbered.