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Will we say No to general practice altogether now?

My initial enthusiasm for a contract that would finally start addressing better pay for quality services turned sour when the weighted list for my singlehanded practice sank 20 per cent to 1,665. Even with excellent quality points I would be financially worse off.

Now I believe I will get to choose the higher option between either the Carr-Hill weighted list figure or a global sum payment based on last year's earnings plus an inflation boost. More confusion, more mixed messages, more evidence of the amateurish way in which this was handled.

In the long-term GPs will still be expected to move to the Carr-Hill formula, which has been shown by this embarrassing mess to be flawed. I do not trust it as a method of calculating any part of my income now or in the future.

As a result I will vote No. For many, this whole shambolic affair may be enough for them to say No to general practice altogether.

Dr Nigel Lord

Altrincham, Cheshire

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