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Rural GP

I voted against this contract and I'm not enthused by a lot of what's going on.

I think it's a good contract for doctors who want to treat populations but not good for GPs who want to provide individualised care.

I tried to ignore the contract changes in 1991. All the managers who implemented that have gone but I'm still here. The practice manager has worked out what our quality points are and we're not going to do anything different as we're happy with the system we have at the moment.

We have always had disease registers so we're just carrying on as before. It ain't broke so we don't plan to fix it.

The same applies to enhanced services. It's not clear on the detail yet but we will carry on doing what we do for the moment.

I don't think our income will go up significantly and we will probably lose £4,000-£6,000 for out-of-hours. I currently do one in 12 nights on-call doing both GMS and community hospital calls.

The GMS calls used to be triaged by our co-operative and were very few, but they now come via NHS 24 and

have increased four-fold

from a 6 per cent call-out rate to 26.

It has become absolutely intolerable so I'm looking forward to opting out in the autumn even though I will still be on-call for the hospital work.

I feel betrayed about the seniority pay as it will still be capitation-based so to someone like me who has done a tough job with a lot of on-call it doesn't seem fair.

Our practice premises is part of a house and we'd like to move to a purpose-built site but the money for that is cash-limited so I can't

see it happening.

Dr Gordon Baird

Sandhead, Dumfries

Practice profile

Rural, GMS

·2 partners

·1 nurse

·3 administration staff

1,600 patients

High proportion of elderly CHD and diabetes (4% of patients)

Quality points aspiration

747

Predicted income rise

Expects to enter contract on Carr-Hill but unsure about expected rise in income

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