The book has so far devoted attention to the Global Sum, enhanced services and the Quality and Outcomes Framework, but there are other important additional issues that should be raised and considered by practices in relation to their income. These are as follows:

• differences between PMS and GMS practices • seniority payments • partnerships and the new contract • premises • pensions and superannuation • out-of-hours work • computers and IT • dual registration • goodwill • PGEA and appraisal • payments and prolonged study leave (PSL).