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Must good care and good pay be mutually exclusive?

GPC negotiators have responded to growing

GP concern over the

work implications of the new contract by urging them to ditch NSF work which doesn't earn them money.

Work outside the quality framework is 'irrelevant', according to GPC joint-deputy chair Dr Simon Fradd.

A great many GPs will feel uneasy about this ­ they want to earn a decent living but not by ignoring NSFs, NICE guidelines and other advances that may benefit patients.

A properly negotiated contract would ensure doctors get a substantial pay rise and patients get the best possible care.

It shouldn't be one or the other. For negotiators to imply that an acceptable rise for GPs can only be guaranteed by working to the book is an admission of failure.

Moreover, totally ignoring NSFs is shortsighted. Sooner or later elements of them are bound to end up in the quality frameworks and GPs should be prepared as well ahead as possible.

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