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Decline in partnerships a sorry sign

GPs found COPD, epilepsy and mental health the hardest clinical QOF targets to hit.

In contrast, hypothyroid-ism, with performance close to 100 per cent on average, and coronary heart disease were easiest.

Dr Mike Thomas, General Practice Airways Group steering committee member and a GP in Minchinhampton Gloucestershire, said traditionally GPs had not focused on COPD, so were starting from scratch.

He said: 'It will probably take a little bit longer to achieve top points for general practice than in other disease areas.'

Patients with the disease were often elderly and immobile, a difficult group to get in for assessment, he added.

How GPs performed

on clinical indicators

Hypothyroidism 98.2%

CHD 95.3%

Hypertension 94.4%

Diabetes 93.2%

Stroke 92.0%

Asthma 91.6%

LVD 90.3%

Cancer 89.6%

Mental health 88.5%

Epilepsy 86.8%

COPD 86.2%

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