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With the introduction of HRG4 and then further refinements each year I also agree that the way providers are paid reflects the levels of complexity.

Rather than asking for more money I would have thought a more sensible approach would be to demonstrate how their activity can be identified as more complex than other providers activity, then change the way activity is grouped, then costed and ultimately priced.

If they are right then let's get the current system right.

Ultimately £700m more to them means £700m less to others as we have a fixed amount of cash available so who do they propose gets less...