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'Normalisation' to be overhauled

Calculations which adjust GPs' global sums to take account of changing practice and PCT-registered populations are to be overhauled.

The 'normalisation' calculation, supposed to ensure PCT funding is allocated fairly, will in future compare practice data with national data every quarter. GPs in areas with a fast-growing population had been losing out under the original method which compared practice data with PCT-level data.

A combination of Government IT problems and the calculation method had cost some practices up to £20,000.

Dr Eric Rose, a GP in Milton Keynes, who calculates his practice is owed £10,000, said the change was an improvement but not a solution: 'It's a damn silly way to pay GPs. The move should iron out some blips but I'm still not happy with it.'

Dr Nigel Watson, a GP in New Milton, Hampshire, whose practice stood to lose £20,000, said the change would reduce his loss by about a quarter.

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