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Gold, incentives and meh

'Patients and practice benefit from PMS'

The Gate Surgery in Rotherham has used the flexibilities offered by PMS more than most practices.

As well as being nurse-run, it is one of the few PMS practices to have developed its own quality and outcomes framework ­ tailored to the specific needs of asylum seekers and other socially excluded groups.

The practice, which is staffed by two salaried GPs, has few patients over the age of 65 and little or no prevalence of CHD, stroke, LVD or COPD.

In conjunction with Rotherham PCT, it has redistributed points away from these areas into HIV screening and counselling, HEAF testing for tuberculosis and recording symptoms of post-traumatic stress disorder.

Manager and lead clinician Jean McVann says: 'The patients do benefit because of the services we've got.

'If they were registered with a normal practice they might not have such easy access to sexual infection screening or HEAF testing. They benefit because they have all this in one place.'

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