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CAMHS won't see you now

Don't bully GPs to meet quality star ratings

GPs have constantly been told the new contract will give them more freedom. More freedom to choose the services they want to provide, more freedom to practise medicine without being swamped by red tape, and more freedom from the influence of primary care organisations on their income.

Worryingly, this all appears to be unravelling. PCOs will be performance-managed by the Commission for Healthcare Audit and Improvement according to GPs' score on the quality framework.

GPs are rightly worried that this will mean PCOs coercing them to hit higher levels on the framework and taking away their choice of which areas to focus on. Pressure on practices to hit the access target ­ another star-ratings indicator ­ is the clear precedent for this. If managers try this tactic they will be making a terrible mistake. GPs have never responded well to bullying.

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