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Fears that other trusts across the rest of the UK will ‘try it on' over QOF

By Daile Pepper

Health managers in Wales are trying unilaterally to introduce new work into the quality

and outcomes framework, GPs warn.

Examples include local health boards instructing practices to ensure they have had three face-to-face contacts with high-risk patient groups before exception reporting them for flu vaccinations – rather than being able to rely on three contacts via letter or over the phone.

Several boards are also demanding that GPs undertaking medication reviews for patients with four or more repeat prescriptions do it face-to-face rather than over the phone or looking through records.

Dr David Bailey, GPC Wales vice-chair, said the attempts to alter the quality framework were illegal as they were not negotiated changes. He was concerned other trusts across the rest of the UK would also ‘try it on'.

Dr Nigel Watson, Wessex

LMCs chair, said PCTs in his area had also attempted to impose new work on GPs through the quality framework.

There had been attempts to decrease the levels of drugs for cholesterol by changing prescribing thresholds and attempts to ‘meddle' with diabetes screening had been made.

‘Some of them (PCTs) don't agree with some of the targets, but I think it was ignorance more than anything,' he said.

GPs in the district have been very clear with managers and pre-empted any further moves in this direction, he said.

dpepper@cmpinformation.com

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