GPs should audit work outside QOF, says NICE chairman

GPs should consider auditing areas of their practice not covered by the QOF, NICE chairman Dr David Haslam has suggested.

Dr David Haslam: too early to judge QOF success (Photo: Pete Hill)
Dr David Haslam: too early to judge QOF success (Photo: Pete Hill)

Dr Haslam told the National Association of Primary Care's Best Practice conference that although NICE produced many clinical audit tools, as a GP he understood doctors’ reluctance to audit everything.

But he argued that there were benefits from auditing non-QOF work.

‘There are some fears that things not in the QOF might slide down the scale of importance,’ he said.

Too early to judge QOF success

He also told the conference it was too early to judge whether the QOF had been a success.

‘The long-term effect of the QOF has still to be judged but I am sure it has made a difference to the lives of thousands of patients,’ he said.

Dr Haslam also told the conference in Birmingham that he was keen to dispel myths among some doctors about NICE guidelines.

‘When I meet people from the royal colleges they all tell me doctors think they are instructions rather than guidelines, but the clue is in the name,’ he said.

Case-by-case decisions

‘It is GPs’ job to discuss and consider with patients what treatment is appropriate on a case-by-case basis.

‘But it is my view that guidelines should be followed unless there is a good reason not to, and saying that you don’t believe in guidelines is not a good reason.’

Dr Haslam said NICE was working on developing on a number of visual aids that would help patients understand risk. This should be published soon, with one on risks associated with taking statins possibly published next month.

NICE has also held talks with computer firms to discuss using IT to issue reminders to GPs.

‘My vision is that the computer would prompt the GP to think about a couple of things as they are just about to print the prescription,’ he said.

‘These are not templates to follow, but suggestions that the GP may or may not want to follow’.

Have you registered with us yet?

Register now to enjoy more articles and free email bulletins

Register

Already registered?

Sign in

Follow Us:

Just published

GP dilemma: What should I do if a parent sends their child with COVID-19 symptoms to school?

GP dilemma: What should I do if a parent sends their child with COVID-19 symptoms to school?

Medical Protection's Dr Clare Devlin offers advice on how GPs should respond to parents...

GPs risk missing out on vital COVID-19 risk assessments, BMA warns

GPs risk missing out on vital COVID-19 risk assessments, BMA warns

GPs risk missing out on COVID-19 risk assessments unless practices are guaranteed...

GPs call for partial suspension of network DES amid heavy workload

GPs call for partial suspension of network DES amid heavy workload

GPs leading primary care networks (PCNs) have called for the partial suspension of...

UK COVID-19 alert level raised as GPs prioritised for testing

UK COVID-19 alert level raised as GPs prioritised for testing

The government has raised the UK's COVID-19 alert level to four amid reports that...

UK on course for 50,000 COVID-19 cases a day by mid-October

UK on course for 50,000 COVID-19 cases a day by mid-October

The UK could see 50,000 COVID-19 cases per day by mid-October, with the epidemic...

Stricter short-term COVID-19 measures needed to avoid second national lockdown, BMA warns

Stricter short-term COVID-19 measures needed to avoid second national lockdown, BMA warns

COVID-19 infection rates will ‘soar’ and the NHS will ‘once again be crippled’ if...