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At the heart of general practice since 1960

No action on demand from 'worried well'

Aren't we all missing the point? The new contract coverage in the GP press and at GPC roadshows has highlighted the targets and payments for chronic disease management. This is the straightforward part of general practice ­ the difficulty is 'the patients who are or believe themselves to be ill' as the contract so quaintly puts it. This is what fills surgeries, adds extras and requests for house calls.

There is no demand management, no action on house calls, no limit on patient allocation and my working day is suddenly an hour longer! We will be working much harder for a modest pay rise and will give the Government unlimited access to our services. (The patient who 'believes themselves to be ill' is the medical equivalent of a blank cheque.)

As the new contract is so heavily weighted to 'quality payments' you could argue that we are going to take a pay cut for this part of our work. I read today that 7,000 consultants are considering resigning from the NHS.

We must vote No to this contract and join them.

Dr Stephen Jerrett

Talbot Green

Bro Taf

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