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As one of the practices in east Kent that 'failed' PRICCE, I was surprised to read Dr Heather thinks that 'every practice' achieved PRICCE standard.

Dr Tony Snell, then in charge of the project, told our practice that (I quote) '95 per cent is not good enough ­ we have to be pragmatic!'.

As a practice, we decided not to fudge our figures as suggested by the PRICCE leaders, by 'excluding' non-compliant patients, as we considered them to be part of the statistics of overall care, to give an honest indicator of achievement, and were thus denied PRICCE status and remuneration.

I would like to add that Dr

Heather's 'quantum leap' ­ which, surely, is the tiniest step known to man? ­

must have been easy to achieve with his doctor-patient ratio of six WTE to 10,700, compared with our two doctors to 8,000 patients with similar nurse-staffing.

I am chuffed with our success in QOF, and would like publicly to congratulate all our staff, who made it at all possible, and without any fudging of statistics.

Dr Susanna Timmins


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