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CAMHS won't see you now

This is a chance for a long-term MPIG solution

I would like to expand on and clarify the points in your article 'PCTs will watch as QOF losers go under'.

A small number of practices stand to lose a large amount of money because of the prevalence changes. We don't yet know what the full impact will be, but we do know if PCOs do nothing they may face serious financial difficulty.

We take what happens to these practices very seriously, which is why we are meeting health minister Ben Bradshaw soon to ask him to put pressure on the minority of PCOs who are neglecting their duty to these practices. Yet it is also important to look at the big picture and remember the profession has told us it wants a contract that more accurately reflects the work done.

The changes to prevalence funding over the next two years are a move towards a fairer system for all. And this year's deal will mean that for the first time in three years GPs will see an increase in their resources.

There is also no 'utter confusion' over plans to phase out the MPIG. The deal agreed in October was always going to be for one year only, as we said at the time. It gave the GPC and NHS Employers an extra year to understand the complexities inherent in the MPIG and work out the fairest way of phasing it out. That is much better than simply scrapping the MPIG, which is what the Government initially wanted.

We are glad it too now sees it has to understand more about why some practices have large correction factors and others don't. It means the Government now sees the need, as we have always done, to come up with a sensible long-term solution.

From Dr Laurence Buckman, GPC chair

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