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MPIG is unfair to practices like mine and should be scrapped

The MPIG must go!

I read with interest last week's debate. Dr Kailash Chand says he receives 20% correction factor payments on top of the global sum. How can it possibly be just for him to be paid 20% more than our practice (a medium-sized semi-rural practice) to provide primary medical care services?

We consider ourselves underfunded - we practise in inadequate premises, have a very small staff and cannot afford a practice manager.

We have minimal ancillary staff and the partners do much of the administrative work.

Why should others be paid more to allow them to afford larger complements of nurses and staff or better buildings to work from? This disadvantages our patients significantly.

The only way we can improve our service provision is for the MPIG to be abolished and the money invested equitably across the board - so that we get paid exactly the same amount per capita as every other practice does.

Once we have a level playing field then we can lobby the Government for greater global sum investments if they are needed.

The days of he who shouts loudest gets the most money must be banished to history.

Dr Glen Hall, Dunoon, Argyll

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