A GP newspaper survey has found that 80% of PCTs are enforcing standards beyond the requirements of the GP contract.
Over the past year PCTs have developed ‘performance frameworks' involving extra standards GP must meet for fear of losing funding or their contract.
But a DoH spokeswoman said that Andrew Lansley was keen to move away from performance frameworks.
‘We shall remove targets that have no clinical justification and move to a system of setting patient or clinical outcomes to be achieved,' she said.
GPs will ‘still need to demonstrate the effectiveness and efficiency of the services they provide' however, she said.
A survey of 26 PCTs reveals 21 (81%) are implementing ‘performance frameworks' or planning to do so this year.
Such frameworks vary, but often make extra services or hours ‘core' requirements or raise QOF targets.
NHS South West Essex suggests that performance frameworks could be used to remove poorly performing practices.
NHS Havering has implemented a ‘QoF+' scheme with more challenging targets. Other PCTs have created ‘additional clinical indicators that all practices should aspire to achieve'.
|Full investigation results|
PCTs with a ‘performance framework' or equivalent scheme in place
NHS Barking and Dagenham in place
NHS Greenwich in place
NHS Hounslow in place
NHS Havering in place
Doncaster PCT in place
NHS Hull in place
NHS Bromley in place
NHS Coventry in place
NHS Medway in place
NHS Bradford and Airedale in place
|PCTs developing a performance framework or equivalent|
| NHS Nottingham City being planned |
Derby City PCT planned for 2010/11
NHS Richmond planned for 2010/11
NHS Dudley planned for 2010/11
NHS Milton Keynes planned for 2010/11
NHS Warrington planned for 2010/11
Blackburn with Darwen being implemented
Sandwell PCT planned
NHS Norfolk planned for summer 2010
NHS Calderdale planned for 2010/11NHS Hampshire reviewing plans
PCTs with no plans to implement a performance framework or equivalent scheme
NHS Cornwall no plans
NHS Somerset no plans
South Staffordshire PCT no plans
Wolverhampton City Primary Care Trust No plans
- Read this week's full GP newspaper story including King's Fund and GPC reaction.