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Singlehanded GP

I voted for this contract and I'm hopeful it will work.

But I'm holding back my final judgment until the dust settles. I'm going to look at things after the first year and will have a much better idea of what we can do financially. We can then decide whether to employ more staff.

We're quite content with our MPIG figure so we shouldn't lose out financially and my accountant feels our income isn't going to drop

To gain our points we're going to concentrate on COPD and epilepsy. We'll probably be more active about bringing people in around the quality areas. There might be room for improvement in terms of identifying those needing cholesterol care but for those coming out of secondary

care it is already very good.

We've just completed an extension of the practice premises that will allow us to bring in podiatry and dietetics. It is being paid

for by our local health and social care group and that will help us meet markers.

We will be signing up for enhanced services but if the conditions and finances are not there we will opt out. We will do anticoagulant monitoring, IUCD fitting and minor surgery.

Our PCO has encouraged all the GPs in the area to opt out of out-of-hours but there's no one else to do the work so I'll be doing the same amount as I was in

the co-op which was one night in nine.

Dr Michael Smyth

Maguiresbridge, Co. Fermanagh

Practice profile

Singlehanded, GMS

·1 practice nurse

·1.5 receptionists

·1 full-time practice manager/ primary care pharmacist

2,000 patients

List dominated by teenagers and over-30s; rheumatic diseases most prevalent

Quality points aspiration

850

Predicted income rise

Income expected to rise, but still hasn't received global sum figures, so cannot predict by how much

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