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Weapon of mass destruction

The contract must be rejected on two grounds. First, it politicises general practice, creating more opportunities for control of health care, as delivered by GP teams, than ever before.

The current political health care agenda is parasitic ­ it eats away at and tends to demote the needs of individual patients and those of our practice teams.

Individual patients' needs will quickly slip down the 'hierarchy of outcomes', to be further dominated by managerial and fiscal control.

What is required is a flow of good information on which clinical decisions can be made.

Second, there should not be any financial losers. This will inevitably lead to some practices closing down and teams experiencing increased levels of stress.

Cash-flow will be a nightmare for many practices if a significant proportion of our pay is not available, with the proposed quality scheme, until the end of each financial year.

And all this will improve recruitment? I think not. The contract as it stands, MPIG or otherwise, is a weapon of mass destruction as far as general practice is concerned.

Dr David Chesover



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