Rapid responses are electronic comments to the editor. They enable our users to debate issues raised in articles published on bmj.com. A rapid response is first posted online. If you need the URL (web address) of an individual response, simply click on the response headline and copy the URL from the browser window. A proportion of responses will, after editing, be published online and in the print journal as letters, which are indexed in PubMed. Rapid responses are not indexed in PubMed and they are not journal articles. The BMJ reserves the right to remove responses which are being wilfully misrepresented as published articles.
We were very interested to read this article when we have been trying
to highlight these discrepancies for many years. We are the practice
ranked third from the bottom in terms of funding shown on your graph. We
wish to point out that ironically we have consistently ranked top or near
the top of Camden PCT practices' scorecards. We have tried to engage this
PCT to correct what is so clearly an injustice to our practice and
patients. Practices with a similar list size within Camden ('the haves')
can have double the number of clinical and non clinical staff that we
have. This inequity is well known to the PCT. In the new NHS it is totally
unfair for funding to rely on an out moded formula based on irrelevant
historical data. This leads to a persistent unchecked inequity in funding.
It seems paradoxical that our high performing practice has been so
unfavoured over the years and other practices have enjoyed years of
disproportionately high investment, staffing and premises improvement.