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Letters Funding for general practices in deprived areas

Correcting flaws in GP funding: avoid missing pockets of deprivation and don’t penalise areas with reduced life expectancy

BMJ 2021; 374 doi: https://doi.org/10.1136/bmj.n1674 (Published 02 July 2021) Cite this as: BMJ 2021;374:n1674
  1. Susan Denton, GP partner, clinical director12,
  2. Simon de Lusignan, GP partner, professor of primary care and clinical informatics34
  1. 1Guildowns Group Practice, Guildford, UK
  2. 2Guildford Renaissance in Primary Care, North Guildford PCN, UK
  3. 3Woodbridge Hill Surgery, Guildford, UK
  4. 4Nuffield Department of Primary Care Health Sciences, University of Oxford, Oxford, UK
  1. susandenton{at}nhs.net

While we support the principles of “levelling up” funding for practices in deprived areas,1 the analysis failed to explore fundamental flaws in current allocation, namely its application to too wide a geographical area and that shorter life expectancy may reduce capitation.

Current approaches to allocation have been based at primary care organisation (PCO) level, using a complicated formula that includes an age …

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