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Send negotiators back to scrap notional lists and sort pensions

So there we have it. Thousands of hours of negotiations; goodbye Red book; hello brave new world; full of opportunity to improve our professional lives; reduce workload; increase income; set the foundations for primary care for the future; improve recruitment and retention.

I attended the roadshow in Oxford with optimism. The feedback from colleagues in Northampton who attended their roadshow the previous week was encouraging. But like many others they were blissfully unaware of the formula to calculate their notional list size.

The reaction of the audience in Oxford indicated there would be a majority of net losers ­ some practices would lose 20 per cent of patients.

One could be excused for thinking that the last-minute delaying tactics of the Government before the announcement of the contract and the tight schedule before the vote was meant to railroad us into a Yes vote. One could be forgiven for feeling sceptical and paranoid.

Dr Buckman informed us that he was presenting the contract not selling it. He also painted the picture of life after a No vote. One was left with the impression that this was a hard sell.

Can I take you back to the beginning and remind you of the resignation threat we made. This was supported by a large majority.

We don't have to take it or leave it. We don't have to work with even more bureaucracy and less finances to run our practices ­ we can say No.

We can send back our negotiators with an ultimatum to the Government and a list of demands. Top of the list: scrap the notional list. Second: sort out pensions.

Dr Dennis Burton

Upper Boddington



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