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Time to stop flogging ourselves to death

Unfortunately David Colin-Thome doesn't seem to understand the statement of financial entitlements for the new contract (Features, January 8). He says a new patient earns 1.5 times the per patient global sum amount. If you look in the SFE you find the £54 has to be multiplied by not only the new patient factor (which is actually a list turnover factor) but also all the other Carr-Hill factors for age/sex, nursing homes, additional needs, market forces and rurality.

It is highly unlikely that all the other factors will have an index of 1; any index below 1 reduces the new patient loading.

In fact, a new patient is worth just as much as all your other patients. Unless you are in a growing practice with MPIG when new patients are worth less than your existing patients.

Dr Diane Ackerley

Guildford, Surrey

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