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Quality pay deal as GPs face yet another formula

GPC negotiators are thrashing out a complex deal with the NHS Confederation to ensure practices opting for the minimum practice income guarantee (MPIG) do not lose out on quality pay.

Expert advisers have been asked to develop a formula

to ensure payments reflect morbidity and workload levels.

Quality pay would be adjusted in MPIG practices by comparing the proportion of patients on their disease registers with national prevalence rates for each of the 10 diseases in the quality framework.

Global sum winners may also be able to tap into the new quality pay system while sticking with a Carr-Hill weighted global sum.

NHS Confederation lead negotiator Mike Farrar said he was 'more than prepared' to consider the new system but added: 'We will need to see if it's feasible. There are problems with the [national] prevalence data.'

GPC negotiator Dr Laurence Buckman played down fears that setting up disease registers could be time-consuming and costly. He said GPs could produce accurate registers in 'a couple of hours', insisting: 'I could do a hypertension register in 10 minutes.'

GPC member Dr Fay Wilson welcomed the plan, but said it would not alleviate the 'bureaucratic nightmare' of the quality framework.

Fellow GPC member Dr Mustafa Karpasi said the proposal was fair: 'When you have to put in so much work and it is weighted accordingly you are being rewarded for that work. Nothing less than that will be accepted.'

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