BMA warns of postcode lottery with local QOFs

Allowing PCTs to pick and choose quality indicators could lead to a postcode lottery in patient care, the BMA has warned.

Dr Laurence Buckman

The DoH has set out proposals for PCTs to be able to select from a menu of quality indicators assessed by NICE.

Dr Laurence Buckman, chairman of the BMA's GPC said that the quality framework (QOF) had succeeded in addressing health inequalities because it ensured patients received consistent care.

‘We would be concerned if this review undermined this vital national approach to quality standards,' he said. ‘There is the possibility of a postcode lottery in patient care developing if primary care organisations can choose which bits of the quality framework they want to provide.'

The plans to overhaul the way quality indicators are selected and reviewed are open for consultation until 2 February.

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