The GMS contract allocates quality points based on a patient survey.
Part of that survey is to identify whether patients are offered a 'practitioner of their choice'.
This is hardly a reflection on the quality of care provided by the practice.
Within a partnership, there are often one or two doctors who attract a greater number of patients. This is more often based on personalities rather than quality of care. A doctor with an excellent 'bedside manner' is not necessarily a greater clinician than his more detached colleagues.
This aspect of the contract puts greater pressure on the more popular doctors to undertake a disproportionate amount of the workload, or the practice suffers financially. It is an inappropriate target.
Dr Robert Jaggs-Fowler, Barton upon Humber, North Lincolnshire.