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We've been shafted over our global sum

I was puzzled by the item on differing methods of accounting and a further consequent adjustment to the global sum (News, June 7).

Although it is no surprise to see yet another excuse being proffered for further reductions in global sums, the reasons given seemed to me to be more than usually irrelevant to the conclusion reached.

The accountants to my former practice – well-know specialist medical accountants – told us years ago that changes in Inland Revenue rules required accounts to be drawn up on the accrual basis and this has been the case for the practice for several years past. So the suggestion that this change requires any adjustment in global sums is unlikely to be true.

Let's face it – we've been shafted.

Dr Michael Blackmore 

Ringwood, Hampshire

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