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QOF does not improve care and should be replaced, finds official review


This is such a breath of fresh air raising limitless opportunities to modernise rather than catheterise the profession. General practice at its best is run using a simple capitation based system with differential weighting for age, deprivation and complexity. That is it... QoF has indeed had its day and was often a distraction that undermined,at times, the core, more humanistic elements of general practice (which to deliver has a cost that was never funded) and in many cases and situations QoF hampered the financial viability of the business that is general practice - more QoF = more staff A micromanaged system required manpower and as we know the cost of manpower has been part of the problem..... this in part has casused the fall in GP income (from profits). With a block budget minimal target funded service you allow the efficient system, that can be general practice, realise its true potential by creating its own un-catheterised, unchained approaches to delivering primary care... We should not worry about managing every piece of delivery of care and thus it is time to go to an outcomes based system which does not look at every HBA1C or PHQ9 as the metrics but patient satisfaction, patient activation, mortality and morbidity data over short, medium and long periods... If your allow GPs to breathe and flex their own muscles, acknowledging that they know their own populations best, we could save general practice. Still have oversight on quality and outcomes but make outcomes and quality the same thing... Hope that makes sense TimeToWakeUp

Posted date

27 Sep 2017

Posted time