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At the heart of general practice since 1960

CV screening is nonsense

From Dr James Hickman

Taunton

Your article on cardiovascular screening (9 March) reports that it will be funded through the next QOF review. This proposal is clearly a nonsense. The QOF was established to measure how well practices provide the services they are contracted to provide.

The contract includes 'management of patients who are, or believe themselves to be, ill' and a defined list of additional services.

If CVD-risk screening is to be introduced it should surely be as an enhanced service ­ a service above and beyond the core and additional services which are clearly defined and do not include screening otherwise healthy patients for risk of cardiovascular disease.

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