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List size formula is fundamentally flawed

With increasing disbelief, incredulity, frustration, anger and ultimately despair, I read that the analysis of surgery consultations used to determine each practice's notional list size (Carr-Hill formula) is based on data from just 12 Scottish practices. This makes the analysis fundamentally flawed, especially for Scotland where IT data input is relatively incomplete and sometimes absent.

I am also aware there is a different formula for Scotland which supposedly factors in for rurality and morbidity, although I am not aware of how it was delivered, or how anybody knows how these factors really relate to workload in primary care.

Even if this formula is accurate (a leap of faith!) the way the monies are distributed within Scotland is grossly flawed if it is according to that specific workload index for Scotland as outlined on page 101 of the new GMC contract.

Dr Anne Comiskey


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