Blunders undermine quality scores and DES

Quality framework scores and achievement of targets in a directed enhanced service (DES) for learning disabilities in Wales have been undermined by administrative blunders, LMCs have revealed.

GP practices in Wales were left with only 11 weeks to input data for domains added to the quality framework in 2006/7 because software was not made available until January this year, GPs say.

Meanwhile, many practices were unable to begin work on a learning disability DES worth £1,000 on average because social services departments refused to hand over details of patients that should be targeted.

North Wales LMC member Dr Jonathan Jones said: ‘We had our Contract Manager software for 2006/7 delivered in the first week of January — meaning we had 11 weeks to get our data up to scratch.’

Dr Noel McLoughlin, a member of Bro Taf LMC, said:

‘No other profession would have accepted being paid on a series of scores. We need software in place earlier when the contract changes.’

It is unclear how much late arrival of software will affect practices financially, although many may have struggled to code patient data correctly to gain quality points.

Many practices missed out completely on income from the learning disability DES because it only allowed them to target patients registered as having a learning disability by social services.

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