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Upcoming Q&O review visits must not be confrontational

Surprisingly, the new contract's introduction has caused little friction between primary care organisation managers and most GPs. They have had a common enemy in the Department of Health with its shifting deadlines, changing budget formulae and software glitches. But this may be about to change, as there are many issues still to be resolved, particularly on enhanced services.

And in a few short months, quality and outcomes review visits will begin.

The new contract was meant to be 'low bureaucracy' but clearly it is not, and verifying complex quality point claims – including exceptions – will inevitably be problematic.

GPs working hard to meet their targets and earn their pay will find it unacceptable if managers take a nit-picking and confrontational approach.

The ethos of the reviews must be as the contract was intended, 'high trust'.

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