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Gold, incentives and meh

GPs face diabetes care scrutiny

All GPs in England will face scrutiny from the Commission for Health Improvement over diabetes care as they struggle to meet national service framework targets.

In a separate audit, the commission will also benchmark prescribing in elderly patients against standards in the national service framework for older people.

The diabetes audit, set for roll-out from September, will compare blood pressure and HbA1c levels in patients at individual practices against framework targets.

GPs will have to extract the information from their computer systems using a program supplied by the commission.

Dr Jenifer Smith, head of clinical audit at the commission, said all practices in

England would have to participate: 'The overall aim in the long-term is to ensure patients with diabetes are getting the care according to the standards laid down in the NSF. That would involve quite a lot of additional collection of

data, which we know isn't on all systems.'

Dr Roger Gadsby, a GP in Nuneaton and senior lecturer in primary diabetes care at the University of Warwick, said: 'I'm all for enhancing the provision made for diabetes and if feedback to the PCT about quality of care increased investment from that PCT in diabetes, I'm all for it.'

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