Exclusive: GPs split over local quality framework plans

GPs are split over plans to introduce local QOF indicators, with almost half supporting proposals that have been strongly opposed by the GPC.

Of 376 GPs who responded to a GP newspaper survey, 47% backed the development of a national menu from which PCTs could choose QOF indicators to implement locally.

More than a third of GPs who supported this said that at least one in four QOF indicators should be chosen locally.

The GPC believes that local indictors will undermine the uniform patient care achieved through a national approach.

Additional local indicators can be developed through local enhanced services (LESs), the GPC argues.

A national menu may improve the quality of local targets, respondents argued.

One GP said it would ‘push forward local care’. Another said a national menu would benefit GPs because local schemes under the current system were always presented ‘very late with hours to agree them’.


  • Should local QOFs be introduced?

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