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Square root formula 'a joke'

Dr Jonathan Fluxman, a GP in an inner-city area of west London, believes the square root system for calculating funding is a 'complete joke'.

He said: 'The more patients you have, the less reward you have for each patient.'

Dr Fluxman said the inequalities of the framework presented inner-city GPs with huge problems.

'Many of the patients who predominate are high workload, such as those with mental illness, drug dependency or homelessness. The QOF doesn't recognise this and it's a disincentive to register them.'

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