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Hit by a double whammy

The all-important information on nominal list size has now hit the surgery mat and preliminary back of the envelope calculations done. If other practices have come to a similar conclusion to me, then the effluvium is about to hit the fan.

My real list size of 3,156 has been reduced to 2,575 and the global sum payable ­ even after adding in seniority ­ is less than current income. To maintain my take-home pay I will need to earn lots of quality points. But here's the rub: quality income is based on the notional list size. So there we have it, a double whammy of a lower global sum and lower earnings from the quality framework.

As Bud Flanagan might have sung in the old Dad's Army ditty 'Who do you think you are kidding, Dr Chisholm...?'

Dr Ross Worthington,



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