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Top-scoring GP loses £2k bonus for prescribing

Dr Adrian Pierry has missed out on a £2,000 prescribing incentive bonus despite scoring top marks for prescribing quality. Dr Pierry, a singlehanded GP in Cardiff, got 31 out of 32 prescribing indicator points ­ the highest score in South Glamorgan. But his bonus was withheld because his use of statins and antihypertensives ­ in line with the quality framework ­ meant his drug spending rose by 25 per cent in a year.

He said: 'A lot of GPs think the targets in the new contract are so strict they cannot achieve them. I achieved them, but instead of praising me, I'm being penalised.'

Dr Haydn Mayo, medical director of Cardiff local health board, agreed Dr Pierry had prescribed 'in line with good practice' and 'recognised the conflict' between meeting budgets and implementing NICE guidance and NSFs. But he said any practice overspent by more than 8.4 per cent had lost its bonus.

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