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
on clinical indicators
Mental health 88.5%