Here's one turkey that will not vote for Christmas!
The Carr-Hill formula has to go. It is unacceptable that practices which have been performing well against the previous criteria, as set down in GMS, and in many cases invested in more doctors to provide that good service, thus drawing more than an average share of the GMS pool should now be penalised.
For this is the effect it has in redistributing what was GMS money. If you missed all your targets and had high lists then you are in for a bonanza. It is true to say you could earn even more by hitting some quality targets.
Those already performing well are going to have to paddle a lot harder through bureaucratic treacle just to stand still or even lose money.
To tell any practice that it will now be paid for fewer patients than it has on its list was always going to be unpalatable. To expect us to do so and take a pay cut beggars belief. This turkey won't be voting for Christmas!
Dr John Robinson