Access league tables to put pressure on practices

PCTs should consider extracting data direct from practice IT systems to compile access league tables and spell out penalties for the worst performers, DoH guidance says.

Improving GP Access and Responsiveness', published last week, says PCTs need to develop ‘a systematic approach to what happens as a consequence of different levels of access performance'.

It says data about practice performance on access can be ‘quite easily extracted from practices' IT systems', and cites examples of how peer pressure can drive up performance.

Although top-performing practices are to be ‘publicly celebrated', with their efforts used as a benchmark for others to attain, practices with lower scores will be ordered to make ‘immediate improvements'.

This may be done with the support of the PCT, an LMC, or ‘external agency'. The guidance says if practices fail to improve fast enough, PCTs ‘will need to consider the contractual levers available'.


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