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At the heart of general practice since 1960

LES schemes are the answer, not local QOFs

It cannot be the case that local QOFs are already in place as your article suggests ('One GP in seven working under a local QOF').

The simple reason for this is that QMAS, the IT system that shows how well each practice is doing against national QOF targets, will not pick them up.

It is more likely that PCTs are focusing on the health needs particular to their area by commissioning enhanced services and paying practices on a points basis.

This is what we argued for in our response to the Department of Health's QOF consultation. Local enhanced services allow PCTs and GPs to target and tackle local health priorities, while ensuring a key part of the GP contract, the QOF, remains UK-wide. This system would mean patients would continue to receive high quality, evidence-based care wherever they lived.

The Government says it is committed to reducing health inequalities. It's a shame it can't see that dismantling a national QOF would ruin one of its few genuine success stories.

From Dr Brian Dunn, GPC negotiator and chair of GPC Northern Ireland

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