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Should I really benefit from lung cancer diagnosis?

As we get to the end of another QOF cycle I find myself waiting for one of my patients to be confirmed as suffering from lung cancer.

I have a financial interest in this as it will be worth six points, as I have had no new cancer diagnoses this year in my small practice.

Should I phone the hospital if there is no news by the last week of March?

How am I to feel if the diagnosis is positive? Pleased? How will I feel if the diagnosis is negative? Disappointed?

Although the QOF undoubtedly fosters good systematic care of chronic conditions there is a case for not including terminal illnesses as for most of us this is very much shared with the family, hospital, palliative care teams and community nurses.

Perhaps a review is needed.

From Dr Richard Reubin, Watford, Hertfordshire

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