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At the heart of general practice since 1960

'Overperforming' accusation unjust

'Keep it short' is your advice, but why did you not tell Dr David Colin-Thome before he produced half a page of nonsensical drivel (Features, January 8)?

It might have escaped him, but MPIG means that practice income is frozen at 2004 levels for nearly 100 per cent of practices. Indeed the only hope of increased income comes from Q&O.

It has probably completely escaped him the 1.46 weighting for new patients means you have to match the 2003/4 patient turnover not to fall below Red Book income as this weighting only lasts a year.

If practices spend the Q&O money, not only would they have worked the Q&O for free, but also we have no hope of securing the better pension promised on the basis of a higher dynamising factor on the basis of more pay.

For the sake of my dynamising factor please everyone take home every last penny. The increased pay would have been the only reason for the 80 per cent Yes vote. Q&O means more work = more pay. Simple.

Dr Hank Beerstecher

Sittingbourne

Kent

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