Dear All,
I clearly have a vested interest (see below) and apologies for that -
but I have been asked to post the following for discussion -
particularly since Roy himself is on the list :
Ann's practice (7ish partners) is inner city (Oxford) with a large
student list. Presumably students are included where they live on the
new formula, but usually registered at University.
Dear Klim
I thought you might be interested to see our summary figures from the BMA
spreadsheet projecting income under the new contract.
We have been pretty shocked to have our actual list size of 12500 reduced to
a nominal list size of 11978 and further reduced to a weighted list size of
6880. They have estimated a formula allocation ( I think this means
global sum) of £376,006. This has all been worked out using the
Carr-Hill formula.
The spreadsheet is not perfect, it requires much speculation, and for
enhanced services inspired guessing. I have filled out the quality framework
on the basis of us getting 100% which is clearly unrealistic, but
nonetheless useful to have best case projection.
So, unless I have misunderstood the process, we look to have major deficit
in income of at least £165,000.
I have read the BMA contract and cannot understand how the Annexe D
Carr-Hill formula has been produced. It means that practices like
ours would become non-viable. It does seem that young people are
undervalued and the new emphasis is on giving more statins to the
elderly!
I would be very interested to know what Professor Carr-Hill feels about this
and would very much value your feedback
Ann (McPherson)
My feedback is that weighting by age/sex specific home visit rates
(which I believe was part of the basis) does not well reflect
(legitimate) GP caring workload.
K
-------------------
Klim McPherson
MRC HSRC
Department of Social Medicine
University of Bristol
Canynge Hall
Whiteladies Road
Bristol BS8 2PR
tel: 0117 928 7258 / 7204
fax: 0117 928 7236
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