LMC representatives voted to reduce the number of letters from three to two, in order to streamline the system for practices struggling with bureaucracy.
The national LMCs conference in London also called for the QOF to be limited in scope, so that GPs did not have to tackle ‘wider public health aims’.
And GP representatives demanded that QOF indicators should only be included if they are evidence-based.
Wiltshire GP Dr Peter Swinyard told conference that NICE should not be running QOF because it left the scheme open to political interference.
‘We want to do a good job as GPs. We do not believe that political whim is a good way to run a health service.’
The conference rejected motions stating that the QOF ‘causes increasing polypharmacy, especially in the elderly’, and that the scheme caused other areas of healthcare to be ‘less well prioritised’.
Kent GP Dr G Gupta argued that GPs should be using their clinical discretion rather than slavishly following the targets: ‘QOF does not kill patients, bad medicine does. We are doctors not QOF monkeys.’
But GP representatives did vote for the GPC to investigate whether aggressive blood pressure targets in the QOF were causing falls.
They also registered concern about the increasing number of 'completely unnecessary' requests to GPs from PCTs for patient-identifiable information.