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Independents' Day

LMCs condemn MPIG as 'a stop-gap riddled with holes'

LMCs have delivered a stinging rebuke to GP negotiators after dismissing the much-vaunted minimum practice income guarantee as only a 'stop-gap' solution.

GPs also overwhelmingly backed a motion arguing that MPIG perpetuates historical under-resourcing of practices.

The vote started a black day for negotiators, who had pinned their hopes on MPIG to rescue the contract.

Dr Elizabeth Robinson, a member of Camden and Islington LMC, called MPIG the 'measly poor income guarantee' because it would stifle the development of practices. If this is a safety-net it's riddled with holes.'

LMCs also passed a vote of no confidence in the current Carr-Hill formula. They instructed GPC negotiators to overhaul the formula and 'ensure the early delivery' of a fairer model which included measures for deprivation and patients whose first language is not English and is based on practices' registered lists.

The motion adds the formula must be fully tested and the results put to a future ballot.

But GPC chair Dr John Chisholm said GPs would have to vote for the contract to get a review because the formula would need to be used before it could be modified.

He said: 'We need to get practice level data so we can move forward. We know it's not fully fair ­ use it, warts and all, to make it better.'

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