Call to link GP and PCT quality targets

GPs have called for better links between quality framework and PCT targets, after less than half of trusts in England met requirements for management of CHD and diabetes.

GP leaders called for enhanced service incentives for practices to deliver more of the information they hold to PCTs.  

Ratings published last week by the Healthcare Commission showed that 54 per cent of PCTs failed to meet targets for practice-based registers on the two conditions.  

PCTs were expected to ensure practices had registers of patients at risk of CHD, and that they had been called in for review in the past 12 months along with diabetic patients.  

But neither of these targets was in the quality framework, in which GPs achieved more than 95 per cent of points on average.  

Dr Alison Smith, a GP in West Sussex and a former professional executive committee chairwoman at Adur, Arun and Worthing PCT, said: ‘There are a few discrepancies between quality framework and PCTs’ local development plan targets.’  

‘In terms of at-risk groups, GPs already hold such data — it is a question of PCTs and practices working together.

This is a communications failure and a problem with how you cut the data.’  

GPC negotiator Dr Richard Vautrey said that if practices were asked to deliver more information, they would have to be paid for it.  

He said enhanced services would be a good way to deliver extra incentives. 

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