The minimum practice income guarantee was agreed because without this supplement the majority of the practices would have earned less from the new contract than the old one, writes Abdul Ghafoor

It must be understood that this is the money that GPs would have had under the old "pool" system.

The only way to bring an end to the guarantee is to redistribute this money by adding it to the "global sum" pool. The money would follow the patient and anomalies like the Buckingham Palace practice would be eliminated.

Removal of the guarantee will destabilise many practices.

Dr Abdul Ghafoor, GP, Stockport