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When is a loser not a loser under Carr-Hill?

Dr Brian Keighley, defending the new contract (April 29), declares himself a Carr-Hill loser. I got in touch with him on the BMA website where he regularly contributes and pressed him for his weighting. It appears it is 1.36!

As this is probably within the top

3 per cent of UK practices, Dr Keighley is not a Carr-Hill loser. It would illustrate the underfunding of the Carr-Hill solution if even a formula of 1.36 does not guarantee more income.

Dr Keighley should have declared his competing interests. With a high Carr-Hill weighting and at an age to take full advantage of the seniority and pension deal, it is clear he should argue for the new GMS contract. I seem to be the only GP in the UK that is going to benefit from Carr-Hill because my practice has been underfunded and further development is being blocked by my PCT.

I was one of the 25 per cent No voters last year, and the principles of the contract have not changed.

Dr Hank Beerstecher

Sittingbourne

Kent

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