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PCO to blame for exception reports

Dr Clive Morrison is blaming high levels of exception reporting for patients with diabetes in his practice on local prescribing guidance from his PCO.

An analysis of more than 800 diabetes patients at the practice in Prestatyn, North Wales, showed most of the exceptions were for maximum tolerated medication in diabetes, statin therapy and hypertension.

Dr Morrison said his local PCO ­ Denbighshire local health board ­ and others across the country had issued strict instructions on maximum tolerated dose, in response to fears that QOF might escalate prescribing costs.

Exception reporting for other reasons was very low.

'We've been knocked a lot over this. But we haven't been over-exempting ­ just trying to contain local prescribing costs. It's still our responsibility to treat these people to target.'

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