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Asthma telephone triage cuts NHS costs

Dr Snell puts forward two causes to explain low organisational scores in the QOF (News, September 10) ­ less than 'competent' practice management and organisational points being the sole responsibility of practice managers.

The major problem actually is that practice managers work to the goalposts set for them by their employers ­ the practice partners. Professionally qualified and experienced managers, who are sidelined or not given sufficient credit for their expertise, are bound to under-perform. Those who are not supported by the practice are similarly handicapped.

As a final observation, I would not necessarily assume that support from quite a few of the PCTs across the country would be more effective than a locally organised practice managers' forum.

Alan Moore

Group Manager

Ellesmere Port

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