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Take GP job satisfaction into account in costing

Dr David Kernick has criticised the NHS for not considering benefits such as increased GP job satisfaction when deciding whether new projects are cost-effective.

In an article published by the National Primary and Care Trust Development Programme, Dr Kernick said 'linear' calculations of the cost of an initiative against its direct benefits only gave a 'flavour' of whether it was successful.

Such an evaluation of GPs with special interests ignored factors such as GP job satisfaction, patient satisfaction and costs saved by patients, he added.

Dr Kernick, a GP in Exeter and member of the Complexity in Primary Care Group, said: 'Everyone has an intuitive feel for value for money, but as you approach it, it slips from your grasp.'

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