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GP leaders draw up alternative accreditation plans

By Gareth Iacobucci

GP leaders have drawn up proposals for a ‘two-tier' practice accreditation scheme that could be set up instead of national plans for performance management.

The scheme would require GPs to demonstrate quality against a series of indictors, similar to the RCGP's planned national accreditation scheme.

But unlike the RCGP's plans, GPs who fulfilled criteria would be able to request funding for specific local services that matched the needs of their local population.

Dr Prit Bhuttar, GPC rep for Oxfordshire and Bucks, who developed the proposals, said the scheme could allow GPs to compensate for the huge losses felt by this years QOF and MPIG changes.

He added: ‘I suspect if you had a list of RCGP objectives there would be an lot of overlap. But any scheme with the appearance of being imposed from above, people will treat as a box ticking exercise.'

He explained the scheme would work in two tiers, the first of which would require GPs to meet a range of different criteria via regular audits: ‘The criteria could be things like are your lists open and can you offer an appointment within 48 hours.'

After demonstrating quality through tier one, GPs could then ask their PCT for funding for services falling outside their existing contract under tier two.

A BMA spokesperson said the GPC was working with the RCGP on its proposals for a national practice accreditation scheme.

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