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MPIG? ­ GPC blunders into a new pig in a poke

The GPC has now blundered into presenting us with another pig in a poke, the MPIG (minimum practice income guarantee). More than a third of the GPC voted against the MPIG, and with good reason. I wonder how many others voted Yes because of the Government's timetable for new legislation.

MPIG only seems to provide us with approximately current levels of funding plus inflation for several years ­ hardlythe massive infusion of funding for primary care hailed a few months ago!

This won't cover staff costs entirely and these will rise anyway with extra quality work. Quality preparatory monies are peanuts and quality payments will be adjusted down according to notional list sizes with 100 points being clipped off immediately in year one and 150 points in year two.

Most of thiswill only be paid at the end of each year. This all adds up to no incentive at all.

However, the worst aspect of MPIG is that it will not redress the imbalance in practicefunding. Those that have always been underfunded and those with GP vacancies whohave losttheir basic practice allowance will never see the light of day.

The GPC wants us to judge the deal not the negotiators. Both are rubbish and that is why we should vote No.

Dr Minesh Patel

East Grinstead, West Sussex

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