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GPs performed better on the clinical section of the quality framework than on the organisational indicators, the QOF results show.

Practices scored an average of 87.3 per cent of the 184 points on offer in the organisational section. This compared with a 92.3 per cent average score by GPs in the clinical domains.

GPs said organisational indicators were more labour intensive and practices often did not get the support they needed to set up the correct systems.

Dr David Jenner, NHS Alliance lead on the GMS contract and a GP in Cullompton, Devon, said note summaries and medication reviews were prime examples of indicators that required a lot of work.

'Anything that requires an annual input of data clearly is harder to get higher scores on than those that are just one-offs,' he said.

GPs scored an average of 84.8 per cent on the re-

cords management section, the lowest in the organisational domain.

Dr Tony Snell, former NHS Confederation negotiator on the QOF, said PCTs should have provided support for GPs to score well on organisational indicators. Practice managers often took sole responsibility, he said.

Dr Snell said: 'It depends on having competent practice management rather than necessarily thinking of GPs as the issue here.'

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