Correction factors will be cut from 1 October, the GPC has announced.

What an absolute farce What a way to treat the people who hold the fabric of the NHS together I'm feeling like becoming militant over this Let's just hope and pray our negotiators do aswell or do we just expect them to roll over and accept yet another "bad deal"? How much more of this are we prepared to tolerate???

What about PMS Practices? Lynn Jones

PMS practices do not use MPIG so your funding will be negotiated locally and unaffected by these changes. Some LMCs are claiming that PMS practices are entitled to recieve whatever the global sum rises by -2.7 per cent this year -but this is dependent on which type of PMS contract you use.

Thanks for your response. That must mean we also get nothing for the 3rd year in a row too. Lynn

Junior doctors are demoralised, consultants too, and now all GPs. Time for a General election !

I can hardly credit that the GPC agreed to have the MPIG reduced for the 90% of practices that rely on it. If not the deduction is not contractual. A legal challenge seems appropriate. We have all had enough of this shabby treatment. If the BMA won't collect undated resignations from practices, will somebody else please.

When the MPIG was introduced, the DoH FAQs on the MPIG stated "there is a permanent committment to the principle of this guarantee."  Presumably permament in DoH speak means four years? Three points here:

1. No pay rise for three years is a pay cut that has already been made. GPs profits are falling by 7-10% per annum

2. The Darzi suggestion is that the fact the MPIG is not list sensitive and is therefore an obstacle to patient choice is a smokescreen. If it's a problem, make it list sensitive. I suspect most GPs would accept this.

3. You can't negotiate with a bully. Athelred the Unready tried with Danegeld and Chamberlaine with paper promises.

Laurence Slavin