Regulator plans bold crackdown on GP cardiovascular disease management
By Nigel Praities
The Care Quality Commission has called for a major overhaul of GP cardiovascular disease management and a crackdown on practices not following NICE guidelines, after a report found ‘high variation' between practices.
The report calls for higher QOF thresholds and more generic prescribing in an effort to reduce inequalities in the care patients receive.
It also reveals the regulator intends to hold GPs to strict performance standards on cardiovascular disease as part of its registration requirements.
The report states that the CQC will be 'using the data as part of our screening of overall performance when we assess the declarations of care providers of their compliance with registration requirements.'
The report says some practices are failing to refer patients to stop smoking services and that too many are prescribing branded statins.
It says NICE should raise percentage thresholds for QOF cholesterol indicators and introduce indicators on ‘pro-active case finding'. It also recommends PCTs should ‘strongly encourage' GPs to prescribe generic statins and make plans to reduce differences in prescribing between practices.
GPs are expected to register with the regulator from 2012, and this new report gives the first indication of the strict requirements the CQC will expect.
CQC chair Baroness Barbara Young, said she ‘would not rest' until health inequalities for cardiovascular disease were reduced.
‘We have to raise the bar of acceptable performance, upping the level GPs and primary care practitioners are being asked and incentivized to perform to,' she said.
‘We must encourage our GP practices and other primary care services to make sure they do what the evidence shows works, making sure they redouble efforts in deprived areas and ensure prescribing is cost-efficient.'
‘We need GPs and primary care trusts to take up this challenge and we will be encouraging them to do so by sharing our information with them. We will also be using this data in our performance assessments and following up where necessary,' she said.CQC chair Baroness Young said she 'would not rest' until health inequalities for CVD were reduced CQC chair Baroness Young said she 'would not rest' until health inequalities for CVD were reduced