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At the heart of general practice since 1960

PMS GPs in limbo over quality cash

GPs working in PMS remain in limbo over the contract just weeks before the ballot.

The Government still has no idea how PMS practices will tap into the quality cash fund, but the GPC has urged PMS GPs to vote and then 'sit on the fence' for a year.

GPC joint deputy-chair Dr Simon Fradd told a Kent roadshow last week the Government had agreed to split the pensions and quality cash between GMS and PMS. The pensions cash split will start in April.

A Department of Health spokeswoman referred queries to the NHS Confederation. But Dr Tony Snell, a member of the confederation negotiating team, said its remit did not cover PMS and he did not know how it would dovetail with the quality framework.

When will GPs be able to work out income?

GLOBAL SUM

Practices mailed notional list size ­ this week. Online ready-reckoner on BMA website for practices to factor in nursing home patients and list turnover ­ before ballot.

QUALITY PAY

£3,000 per GP next year for practices to work out baseline on quality framework. Each point multiplied by £75 in 2003, and £120 in 2004 then adjusted according to Carr-Hill ratio.

ENHANCED SERVICES

 · National fees for directed enhanced services, including flu immunisation, childhood vaccine target pay, violent patients, improved access, and minor surgery ­ this week

 · Benchmark pricing to include anticoagulant monitoring, IUCD fitting, care of drug and alcohol misusers ­ due later

 · PCOs will set own fees for local enhanced services

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