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Quality pay does not cover the extra workload

I have just received the calculation for the quality and outcomes pay for my practice ­ the points aspired to is 1,050, less 174 as I am a PMS practice.

The extra work for my staff and myself has already increased dramatically. The pay for this is grossly inadequate.

The reductions, as all practices are based on £75 divided by variance from the average list size and a square root factor, means that decent pay from Q&O is only achievable by maintaining a ridiculously big list.

I thought the new contract was supposed to reduce workload, not push an already overstretched workforce into early retirement.

This whole farce must now be rejected for the following reasons:

lgreat numbers of practices needing MPIG

lall the delays

lno one should be forced to sign a contract 'under dispute'

lunresolved problem of out-of-hours cover

lextremely poor rates for extra work

lunresolved problems of enhanced services pay.

No wonder NHS managers were laughing.

Dr Stephen Fox

Leigh, Lancashire

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