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Subject:

Re: Obscene

From:

Laurie Miles <[log in to unmask]>

Reply-To:

GP-UK <[log in to unmask]>

Date:

Sat, 5 Mar 2005 15:09:08 -0000

Content-Type:

text/plain

Parts/Attachments:

Parts/Attachments

text/plain (54 lines)

We were/are one of the higher achieving practices (PCT assessment, not our
own).
We have had to do a lot more work simply to get the points. Yesterday I saw
2 pts who had been brought into surgery by my wife (also my GP partner) for
the sole reason of checking their inhaler technique so that we could achieve
our QOF points. Their inhaler technique was excellent. There was no other
reason to bring them in - they both could have been reviewed in several
months (the original recall date). This was a complete waste of my time and
the patient's time. It was done so we can up our QOF points. All over the
country this is happening. My expensive time has been diverted/wasted on
this RUBBISH.

Open your eyes to what is happening throughout prinmary care in the name of
QOF.

Laurie Miles

Andy Lee wrote:
> John Clegg wrote:
>> If all the time and energy that has gone into debating how we can
>> screw the last fraction of a point out of a particular area had gone
>> into debating how we can care for patients better.......
>
> Good quality patient care and maximising profits are not mutually
> incompatible under this contract. As others have commented, there are
> practices who have had to invest relatively little effort to score
> highly on the QOF because they were doing the things required
> already. The hostile noise seems to be generated by those who are
> finding the prevailing conditions more of a struggle, which is a
> reflection of past investment of effort into the elements now being
> assessed. This contract attempts to transparently account for and
> reward the quality of the service actually delivered and yes the QOF
> has flaws but it also contains much that is self-evidently
> appropriate whereas the old contract had no measure of quality and
> was "never mind the quality, feel the width" i.e. more patients =
> more income regardless of what was done for them.
>
> Your comment could be more aptly reversed to: If all the time and
> energy that has gone into moaning about the QOF had been put into
> efforts to achieve better patient care, just think what improvements
> might have been made (including more income from higher QOF scores).
>
> Andy


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