DoH hopes local quality frameworks will beat health inequalities

The DoH is working on a locally determined quality framework to help overcome health inequalities.

David Colin-Thomé
David Colin-Thomé

Professor David Colin-Thomé, national clinical director for primary care, said the NHS was working on the ‘next phase' of the quality framework, which would address local issues.

NHS chief executive David Nicholson said the MPIG should be reformed and working in under-doctored areas should be incentivised. 

Giving evidence to the Public Accounts Commission (PAC) in parliament last week, Professor Colin-Thomé conceded that the new contract had improved recruitment of GPs across the UK, including under-doctored areas, but had not closed the gap in health inequalities.

Contracts in the coming years would redress that, with incentives to work in under-doctored areas, he said.  

Future contracts would also include incentives for practices to keep their patients as it becomes easier for patients to choose between GPs, he said.

Speaking after the PAC hearing, GPC deputy chairman Dr Richard Vautrey said he was concerned about interfering with the integrity of the quality framework and ‘re-inventing the wheel'.

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