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CAMHS won't see you now

New scheme monitors practice mortality rates

When the quality framework was unveiled, experts thought GPs would score around 500 points. When it began, GPC negotiators and others revised their expectations to 700. Cautious ministers gave PCTs enough cash to pay for 777. Managers openly doubted practices that aspired to all 1,050. How they underestimated GPs.

With an average score in England of 959 points, and similar in Scotland, Wales and Northern Ireland, GPs' performance has been sensational. Even those practices that scored less than the average can congratulate themselves and their staff. They should also tell any PCT that dares to question their performance where to go.

But there is no doubt that achieving such excellence has been exhausting. Practices are already speaking of the strain of maintaining last year's success. And the news that the counselling service for GPs in Cornwall has been deluged with doctors suffering under the pressure is worrying.

With the first frantic year over, GPs need to hold their own QOF review. It's not worth getting that last BP below 150/90 if it's sending your own soaring.

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