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Temporary resident fee replaced

GPs will no longer receive an item-of-service fee for temporary residents under the new contract.

Instead they will get an additional amount in their global sum payment calculated from the average number of temporary residents the practice has had over the past five years.

A practice hit by a sudden influx of temporary residents can get extra money to cover the increase through a local enhanced service or through a variation in the global sum.

GPC chair Dr John Chis-holm told the special LMC conference: 'If a holiday camp opens then a local enhanced scheme would be introduced.'

The NHS Confederation pressed to abolish the fee, successfully arguing payments for non-residents should be factored into the global sum as extra clerks would have to be retained just to administer the item of service.

Dr Chisholm said: 'The confederation pointed to the fact that in PMS the arrangements and funding is built into a contract price and doesn't seem to have caused too many problems.'

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