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Smaller practices fear for quality pay

Singlehanded GPs are calling for a review of the quality framework because many smaller practices will be find it impossible to score points against some of the indicators.

The Small Practices Association has argued GPs with smaller lists may not have any patients whose treatment they can count towards markers.

Dr Michael Taylor, chair of the association, has written to GPC chair Dr John Chisholm to call for a new system in which GPs who cannot score points against certain indicators are allocated a score in proportion to their points from other markers.

'We've been quite laid back about a raft of things about the contract but this is the last straw,' he said.

Dr Bob Wood, a GP in Heywood, Lancashire, said he did not have any patients on lithium and so will not get the 11 points, and £825, available under the mental health section and may lose holistic care points. He added: 'I'm not asking to be paid for

work I'm not doing, I'm just saying this system is not fair.

I may miss out on thousands.'

GPC Wales chair Dr Andrew Dearden said larger practices would object to the plan: 'It's reasonable for all organisations to have their own interest but we have to look at the bigger picture.'

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