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Paperwork for quality pay 'will overwhelm practices'

GPs will be overwhelmed with paperwork under the quality framework and the last-minute changes to the deal have made the situation worse, GPC members have warned.

Practices are also worried about running up huge debts because preparation and aspiration payments are too low.

Pulse revealed last week GPs will get double the money paid up front for the quality framework. But GPs are still waiting for detail about the new payment arrangements as well as data on national disease prevalence.

In the meantime, GPs will be asked to estimate the number of points they wish to aspire to on the basis of local disease prevalence.

Dr Rob Barnett, Liverpool LMC secretary and a GPC member, said GPs still had difficulty trusting negotiators and ministers to sort out issues such as quality payments.

He added: 'Employees throughout the UK would never dream of accepting a contract that hasn't been written or properly priced.'

Dr David Shepherd, a GP in Saffron, Leicestershire, said potential cash-flow problems meant he was not prepared to aspire to high levels of quality

He said: 'We would have to settle for a lower level of quality because I am not prepared to risk my income by employing people when we might not meet targets.'

GPC member Dr Ruban Prasad, chair of South Lancashire LMC and a GP in

Preston, said the quality framework was too complicated. 'We will get to the stage where bureaucracy overwhelms our practice,' he added.

The GPC has said details on how the payment system will work will be released in the next few months.

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