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Should GPs stop ‘gaming’ the system?


Dr Unwin has completely misunderstood the situation. Mrs Thatcher's "Marketplace" that he mentions has nothing to do with payments to GPs, that was in secondary care. Payments to GPs have always been compartmentalised, paid in dribs and drabs, piecemeal, bit by bit, claim after claim. this was as true with the payments schedule under the red book as it was under the 1990 contract with CDM clinics and now since 2004 under nGMS. All that has changed is the amount of money associated with each component of the payments catalog. GPs have always been paid from a schedule, all that has changed is the definition of items in the schedule. Oh and more recently, the amount of the money per item and the amount of work needed for each item and the number of items needed to make a living wage. All have gone south which is why in the 1980s he didn't need to think about money, there was enough and it was easier to access. As others have said this is a non debate. Regards Paul C

Posted date

15 Jan 2018

Posted time