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This strategy has failed as national normalisation causes pay inequities of 10.8% to 12.2% at practice level.
However using the original formula without national normalisation, the average Global Sum for Welsh practices is £6.80 higher per patient (p < 0.0001) (Table 2 and additional file 3).
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Phasing out the income protection without correcting the inequity of normalisation at national level means Welsh practices will lose the small ameliorating effect of the MPIG and the relative income deficit will grow from 9%to11.2%2%.
The complex calculations obscure two simple differences between the modified and original formulae: (1) normalisation at national instead of union level and (2) the use of previous quarter instead of current quarter data.
All but one of the 8,930 Welsh and English practices experienced less than 1% difference in pay through the use of previous quarter data indicating that virtually all differences between original and modified Global Sum payments were caused by the process of normalisation at national level.
"We want to make the process of normalisation irreversible," said US national security adviser Ben Rhodes, who led an advance party to Havana this week, and also oversaw the secret talks in Canada that led up to the 2014 deal.
Bosnia was readmitted after the political appointees were sacked, the federation taken over by a "normalisation committee", which confirmed as national coach a football legend who had starred for Yugoslavia and Paris St Germain: Safet Sušic.
Normalisation or equalisation of the populations at national level means that the higher age profile and socio-economic deprivation of Wales is no longer taken into account.
It was thus the synergies of both local priorities – as exemplified by the agency of stakeholders on the ground – with national strategic priorities which have enabled the successful deployment and normalisation of innovative clinical and information management processes in the DGRI PAC.
"This is an EU that has no respect for national specificities; it's an EU of bureaucrats, of ever greater normalisation, in the service of big banks and corporations.
The same day Ukraine's prime minister, Mykola Azarov, said that the normalisation of relations with Russia was "issue number one for national policy".
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Justyna Jupowicz-Kozak
CEO of Professional Science Editing for Scientists @ prosciediting.com