What area does the list inflation reduction to the global sum apply to – the area of the practice or that of where the patients live?
A List inflation reductions are based on the PCO area. We expect that by the time transitional payments cease we will have moved to registered patient lists. Q As far as I can see, you get no more reward for doing more basic contraception than others in your weighted area do. The same would apply if all the local diabetics started to choose to register with you, because the service was good. This means there is a perverse incentive here unless I have misunderstood the way it works. A The arrangements do assume that you have the average for your area in your practice. However, if your numbers are significantly different to those of other local practices, it would be possible to make allowances for this, for example, through an enhanced service. If your practice is providing an additional service, it is expected that you will offer that service to the patients who need it. If you are providing a good service, you will be rewarded through the Quality and Outcomes Framework, and your rewar
