Letters, calls and emails: Achieving high points raises bar for rest of us

Dear Editor

It is unfair that primary care organisations (PCOs) get bonuses for running up huge debts whilst providing poor and fragmentary services, yet, to score top marks on the PCO scorecard, GPs would have to do loads of unfunded extra work (GP, 30 March).

If some GPs score well, it will play into the government’s hands, forcing the rest of us to do more for less, and allowing those scoring the least to be handed over to private providers.

But if all GPs score bottom, it will be unhelpful to the DoH.

We just need to be uncooperative to the point of failing to score on the points, but we all need to do it.

We could probably manage it by just not providing answers to the questions, and making sure it looks as if we are not able to perform.

If we could only just fail every single point, it would give the public the impression we were working hard, but that the DoH was not being fair.

It would also give them no leverage to use on those practices that scored lower.

If PCO performance is anything to go by, it would also result in a marked reduction in the standard needed next year, which we should again ensure we fail to reach.

Dr David Church
Machynlleth, Powys


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