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Plans to retire QOF targets are flawed

I'm writing about the planned changes to the QOF and the likely removal of points for recording blood pressure (‘Hunter of new QOF targets emerges from the shadows').

Currently a patient has a blood pressure check and if at target this ticks both boxes and they get checked again at a clinically appropriate time – probably before the QOF year-end. If not at target at any time, the patient will need further checks and treatment.

But in future, patients will be checked, and if at target there is no incentive to check their blood pressure again until after the QOF year-end. This is not necessarily in the patient's best interests.

There is also a fallacy in the argument ‘if everyone is doing it anyway, why pay for it'. This could apply to many things.

All GPs do surgeries to see ill people – let's stop paying them as they are ‘doing them anyway'.

From Dr Neal Jolly, Huddersfield

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