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Headline

GPs to have individual outcomes data published, claims NHS statistics chief

Comment

So what constitutes a good GP? One with highest referral rate - after all his Pts would be happy they are getting what they want. Or one with highest drug spend - again his patients will be happy there is no fight over non generic, over prescribing etc. Or GP with highest satisfaction rate? Easiest way to bump this up is again do as requested, nevermind the clinical appropriateness. Or GP with best cancer pick up rate? If I send everyone to every investigation and 2ww this will easily improve. Or GP with lowest admission rate? If I don't do oncall and see only routine pre-bookable app, this will easily drop. I remember as a registrar patients used to tell me how nice I was compared to the partners - it is easy to be "nice" when I have double the appointment time, no QoF responsibilities, no management responsibility, no extra patients, no pressure on drug budget etc etc. Would I have been rated higher on measurable outcome when I was an inexperienced clinician then now? Of course I would have been! Someone tell these academics real life is a little more complicated then what's written on their paper.

Posted date

05 Nov 2013

Posted time

7:20pm

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