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Why negotiating team must be replaced now

The recent sudden, and apparently totally unforeseen, realisation that implementing the new contract will be financial destabilisation for many practices, and financial suicide for others, makes one question what on earth the GPC has been negotiating over the last 18 months.

The whole sorry episode has been shambolic throughout, particularly towards the end of the period with leaks to the media, and delays in getting out both the detail of the contract and the financial implications. It was particularly galling to hear Dr Fradd extolling the virtues of the contract on the radio before GPs were even told about its contents. Does he still feel the same way now I wonder?

As soon as the figure of £53 per patient was mentioned I could see there would be trouble. I am not a financial expert and was able to work out the sums on a scrap of paper in 10 minutes once I knew my Carr-Hill formula notional list.

Even using year two quality point figures and assuming we hit 1,000 of them, we would still make a loss. Our PCT also admits to having no money for enhanced services.

It is difficult to describe how I feel the GPC has behaved. I suppose the word that first comes to mind is 'inept', but this does not really feel adequate somehow to me, to describe the monstrous negligence shown in not trialling these figures first on a sample of practices to see how they would compute.

I feel the only honourable course for you and the negotiating team is to resign now, and leave the way clear for new leadership to represent the interests of general practice.

Dr John Glasspool



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