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How will your practice income fare under the new contract?

The GPC has produced examples of practices that will be relative winners and losers

Winners

 · Singlehanded practice in a deprived area covering 1,200 patients. Already providing a reasonable spread of services. Will receive a higher global sum because of its elderly population and associated higher rates of morbidity and mortality. The practice already employs a nurse and will aim high on quality.

 · Eight-partner practice covering 18,000 patients. Currently interested in diabetes, minor surgery, the elderly, child health surveillance and clinical assistantships. Will receive a higher global sum because of its high number of nursing home residents and plans to take on two nurses to meet the highest quality targets over the next three years.

Losers

 · Two-partner practice with 4,000 patients that already looks after its own diabetics. It has a reasonably wealthy and healthy population so its global sum will fall. In order to increase its income it plans to take on women's services, which the PCO will pay for under a local enhanced service. It will have an average quality points score as the practice has decided to tackle one area at a time.

 · Singlehanded practice with 2,500 patients. It does not employ any nurses and claims CDM payments for asthma under the Red Book contract but does not deliver any extended services because of its high list. The practice will achieve a low level of quality initially and its global sum will be similar to current equivalent income streams.

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