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'We don't collude on sicknotes'

Your lead story 'My 6,000-patient hell' (February 26) illustrates one of the main problem areas of the new contract. The global sum has obviously been an area of concern and was further devalued by MPIG. Many doctors in hard-pressed socially deprived areas should have benefited from redistribution of resources through the Carr-Hill formulae.

MPIG serves to maintain the status quo and fails to rectify this problem. In addition, many doctors working in these areas will struggle to gain the extra resources which have been primarily directed through the quality and outcomes framework.

I am unsure if Dr Doel was a Carr-Hill winner or loser. However, I am certain that this hard-working doctor will not get true recognition for her hard work through the quality and outcomes framework.

If the Government has any concern for doctors working in the most deprived areas, and more importantly for the patients they serve, then it needs to address this failure of the new contract as soon as possible.

Any new monies available need to be targeted at the global sum to ensure that the aim of redistributing resources to areas of need is met.

Dr SP Young,

Pontycymmer, Bridgend

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