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Last-minute changes don't inspire confidence in us

The Carr-Hill formula is giving bizarre results and has led to very extreme notional lists. One small inducement practice with 500 patients has been given a notional list of 2,500. A large practice in Aberdeen with 11,500 patients now has a notional list of just over 7,000.

It is obvious the Carr Hill formula is flawed or the figures have not been calculated correctly.

From our practice point of view our notional list is only slightly above the actual list and in the long-term would have threatened our financial viability. The figure we were given did not include temporary residents and nursing home patients. We have a large number of both. Due to the obvious problems Carr Hill has now been abandoned and we move on to yet another option.

I do feel after 18 months negotiating, last-minute changes do not instil confidence. I had no problem with the general principles of the contract, but the financial implications should have been available much sooner, particularly before the roadshows that have gone round the country with no details of financing and hence have been a waste of time.

Dr D Glass

Ballater

Aberdeen

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