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Score-card to be kept under review

Clinical

Total 550

CHD and LVD ­ 121

Stroke or TIA ­ 31

Hypertension ­ 105

Diabetes ­ 99

Epilepsy ­ 16

COPD ­ 45

Asthma ­ 72

Hypothyroidism ­ 8

Cancer ­ 12

Mental health ­ 41

Organisational Total 184

Records and patient information ­ 85

Patient communication ­ 8

Education and training ­ 29

Practice management ­ 20

Medicines management ­ 42

Patient experience Total 100

Length of consultation ­ 30

Surveys 1 ­ 40

Surveys 2 (reflection on results and proposed changes) ­ 15

Surveys 3 (discuss changes with PCO and have evidence of change) ­ 15

Additional services Total 36

Cervical screening ­ 22

Child health surveillance ­ 6

Maternity services ­ 6

Contraception ­ 2

Holistic care ­ 100

Quality practice payment ­ 30

Access bonus ­ 50

The GPC and the Government will continually review the score-card used to calculate quality payments.

The score-card (see left) was designed to be simple and transparent but negotiators admit it may need fine-tuning.

The contract said: 'Given the pioneering nature of the quality framework and its pricing, the score-card arrangement will be kept under review. Beyond 2005/6 it may be adjusted in consultation and negotiation with the GPC.'

An independent UK-wide group will also review and update the clinical indicators as the evidence base changes.

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