I think the contract is really good in that it's going to modernise general practice and is supposed to invest in primary care, but I think we're going to have to be much more transparent and accountable.
But when you look at the resources, for example for diabetes, it's massively under-resourced. The prevalence uplift is totally inadequate. We're developing a local enhanced service for diabetes to make up for the shortfall with that.
We're well on the way with the quality framework, scoring quite well on CHD and diabetes, but things like thyroid and epilepsy need tidying up in terms of how record it. There are also big gaps on COPD and mental health.
The PCT has been helpful in providing us with a spirometry service at a community clinic.
As far as national enhanced services go we're OK. We're going to do coils but not violent patients or warfarin monitoring. I think they're a disaster. There aren't enough GPs to do the basic work and warfarin creates a lot of litigation.
We expect our income to rise by around £34,000 after we've paid out
for extra nursing.
Dr Clare Davison
Newham, east London
·6 whole-time equivalent GPs
·2 nurse practitioners
·5 administration staff
·10 part-time receptionists
Very mixed practice population, including a range of minority ethnic groups and people on low income
Quality points aspiration
Predicted income rise
£34,000 across the practice