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At the heart of general practice since 1960

Whichever way we vote, watch it all fall apart

The new contract is a case of shooting your own feet.

Try not to worry about it, but do try to look at what it will mean if it gets our support.

The contract is exceedingly complicated and this means that:

 · A lot of GPs will retire early

 · The PCOs won't be able to cope with it

 · The PCOs will need a lot more GP managers and advisers.

The effect of all this will be fewer GPs seeing patients. No more on-call, for only £6,000 per year. This means that most GPs will opt out. No more weekend or bank holiday surgeries, which in turn means working at the co-operative/PCO out-of-hours centre will be really busy.

Out-of-hours will cost a lot more to run. This means £6,000 per doctor plus the out-of-hours monies won't be enough.

But don't worry. Either vote Yes and watch it fall apart, or vote No and watch it fall apart. (I'm going to vote No.)

Whatever happened to plan B?

Dr Peter Lyle

Burgess Hill

West Sussex

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