Letters, calls and emails: Quality framework has no connection with quality

Let's expose the lie: the government has reduced medicine to mechanistic tasks; the BMA/GPC has acquiesced and GPs have embraced the practice, not simply because we had to but because it pays rather well.

As stated by an anonymous colleague, the quality framework is about income generation and not high-quality care (GP, 7 December 2007). High-quality care comes from the conscientious practice of medicine by individual GPs, not by handing out depression questionnaires en masse to diabetic patients.

We have little choice but to continue to play the game; but let's at least do it in full recognition that that's exactly what it is.

Dr Jonathan Holbrook, Epsom, Surrey.

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