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RCGP will not co-operate with DH advisors unless plans for scorecard are dropped

Exclusive The RCGP has said it will refuse to co-operate with Government advisors tasked with drafting new ‘quality measures’ for general practice, unless the DH withdraws plans to use the data for a ‘GP scorecard’.

In a letter to NHS staff sent out last week, health secretary Jeremy Hunt elaborated on plans he announced in the ‘new deal’ for a review of GP quality measures, saying that a ‘new GP scorecard will help support quality improvement by providing unprecedented transparency about the quality of primary care’.

Health Foundation CEO Dr Jennifer Dixon, who is leading the review, to be completed in September, has said that she will discuss the review with the RCGP and BMA.

But the college has said it will not co-operate with the Health Foundation if the review will be used to develop a scorecard due to fears over ‘performance management’ of GPs - although the GPC has said it would co-operate to ensure the review doesn’t come up with a ‘simplistic’ scorecard.

RCGP chair Professor Maureen Baker told Pulse: ‘Our worry is that a “GP scorecard” will not give a meaningful picture of the quality of care provided in general practice. There is also a risk that a scorecard might be used to “performance manage” GP practices and result in undeserved criticism of family doctors at a time when GPs and our teams are under intense pressure.’

She added: ‘Subject to sight of the final terms of reference of this review, the college would be keen to be involved in any work that aims to genuinely improve our patients’ health outcomes and the quality of the service we provide. However, we will not be participating in any review that could lead to the development of a “GP scorecard”.’

The GPC also told Pulse it wanted the Health Foundation to confirm that the work would not be used for that purpose, and expressed scepticism in light of the CQC’s botched ‘intelligent monitoring’ scheme, which was dropped after multiple inaccuracies were found in the comparative data.

Dr Richard Vautrey, deputy chair of the GPC, said: ‘The last thing we need is to replace one failed and flawed system that was intelligent monitoring with another one but I don’t believe that is the Health Foundation’s intention.’

He added: ‘I’m sure the Health Foundation will not want to undermine their credibility in producing a flawed and simplistic scorecard system that did not have the support of the profession, and we’ll work with them to ensure they don’t fall in to that trap.’

The Health Foundation said in a press release following the ‘new deal’ that the review will look at ‘whether such indicators would help patients and carers gauge the quality of care their GP practice provides’ and that the results of the review – due in September – ‘may be used may be used by the Government to develop a “scorecard” of indicators for each GP practice to be published on the MyNHS website’.

A DH spokesperson said: ‘We are committed to making the NHS the safest healthcare system in the world and getting the best outcomes for every patient – having robust information on our performance is key to achieving this.

‘Every other part of the health service and the social care sector has signed up to transparency – GPs should embrace this as an opportunity to learn from one another to further improve the care they give their patients.’

Please note: This story was changed at 17:59 to make explicit that the Health Foundation is not developing a scorecard, but the basis on which the DH may develop one.

Readers' comments (17)

  • Ah stop posturing, you know it's going to happen and that you will roll over and go along with it by doing nothing concrete to oppose it.

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  • Quite correct, RCGP. Time to get as tough as our political masters. It wouldn't be long before these score-cards would be used to determine pay.

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  • Absolutely shameful. We want to prevent performance management of underperforming GPs due to financial pressures.

    So much for the oath.

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  • excuse me, but aren't we already doing appraisals every year? where does it end?

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  • Samuel Lewis

    where does it end ?
    Retirement - en masse

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  • The storm has set sail RCGP - you missed your moment a long time ago.

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  • Vinci Ho

    All I would say is this is always meant to be a long , exhaustive battle against the government and DoH etc. RCGP and GPC need to keep reminding themselves what they are standing for ......

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  • Goodness,how many more quality measures do we need.If you hadn't known better one would think GPs are the modern day black plague!

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  • Goodness me - did I just read what I think I did? The RCGP have actually said no to something?

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  • you can talk, now walk

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  • "Samuel Lewis | GP Partner | 06 July 2015 1:22pm

    where does it end ?
    Retirement - en masse"

    Canada. not even joking, I've set the wheel in motion a few weeks ago. can't wait!

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  • http://www.huffingtonpost.co.uk/dr-zoe-norris/nhs-reform_b_7724384.html?utm_hp_ref=tw

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  • When will the govt realise there is no way to measure good care see above article. Their performance management means we don't have the time to do the really important things for frail elderly or vulnerable folk.

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  • When will they let us do our job which is actually caring and looking after patients rather than worrying about inspections, score cards , appraisal and re validation etc.

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  • "Anonymous | Sessional/Locum GP | 06 July 2015 5:32pm
    When will the govt realise there is no way to measure good care see above article. Their performance management means we don't have the time to do the really important things for frail elderly or vulnerable folk."


    I am saddened that so many GPs still refuse point blank to see what is happening. The score card has nothing to do with improving the service, its purpose is to pile on the pointless misery and workload to add to the pressure causing general practice to collapse so that it can then be sold off to 2 or 3 big firms e.g. United Health, Boots.
    Jeremey Hunt co-authored a book about how to dismantle the NHS and change it to an American style private insurance service, and then appointed a United Health director in charge of expanding United Health's overseas markets to be chief exec of the NHS.
    Why are GPs so wilfully blind to what JH and Simon Stevens are up to?

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  • The NHS is just a pilot project for United Health et al. Once it is fully privatised and proven to be working well with good outcomes, the model wil be expanded across the EU and elsewhere in the world. Approximately 10% of world GDP goes on health in western countries. That is too big a business for multinationals to ignore

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  • @Anonymous | Practice Manager | 07 July 2015 8:29am

    because they are blinded by a failed nhs ideology and have very poor leaders

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