Exclusive: GP performance frameworks face axe by ministers

PCT performance management tools, introduced by over 80% of trusts, may be scrapped by the government.

Mr Lansley : 'We shall remove targets that have no clinical justification'
Mr Lansley : 'We shall remove targets that have no clinical justification'

A GP newspaper survey has found that 80% of PCTs are enforcing standards beyond the requirements of the GP contract.

Over the past year PCTs have developed ‘performance frameworks' involving extra standards GP must meet for fear of losing funding or their contract.

But a DoH spokeswoman said that Andrew Lansley was keen to move away from performance frameworks.

‘We shall remove targets that have no clinical justification and move to a system of setting patient or clinical outcomes to be achieved,' she said.

GPs will ‘still need to demonstrate the effectiveness and efficiency of the services they provide' however, she said.

A survey of 26 PCTs reveals 21 (81%) are implementing ‘performance frameworks' or planning to do so this year.

Such frameworks vary, but often make extra services or hours ‘core' requirements or raise QOF targets.

NHS South West Essex suggests that performance frameworks could be used to remove poorly performing practices.

NHS Havering has implemented a ‘QoF+' scheme with more challenging targets. Other PCTs have created ‘additional clinical indicators that all practices should aspire to achieve'.

Full investigation results

PCTs with a ‘performance framework' or equivalent scheme in place

NHS Barking and Dagenham in place

NHS Greenwich in place

NHS Hounslow in place

NHS Havering in place

Doncaster PCT in place

NHS Hull in place

NHS Bromley in place

NHS Coventry in place

NHS Medway in place

NHS Bradford and Airedale in place

PCTs developing a performance framework or equivalent
NHS Nottingham City being planned

Derby City PCT planned for 2010/11

NHS Richmond planned for 2010/11

NHS Dudley planned for 2010/11

NHS Milton Keynes planned for 2010/11

NHS Warrington planned for 2010/11

Blackburn with Darwen being implemented

Sandwell PCT planned

NHS Norfolk planned for summer 2010

NHS Calderdale planned for 2010/11

NHS Hampshire reviewing plans

PCTs with no plans to implement a performance framework or equivalent scheme

NHS Cornwall no plans

NHS Somerset no plans

South Staffordshire PCT no plans

Wolverhampton City Primary Care Trust No plans

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