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But the statement of fees and allowances on the DoH website explicitly
states that Q&O is optional.

-----Original Message-----
From: Fay Wilson [mailto:[log in to unmask]]

Too late to say Yuck now. 79% voted for it, no good coming over all nice at
this stage. And don't think you can get all high minded and opt out of Q&O
and forgo the money. A Top Person from the NHS Confederation negotiating
team has publicly said that practices with low Q&O scores will be reported
to the NCAA.