LMCs say QOF 'too complicated' and affecting consultations

The QOF has become too complicated and is starting to have a detrimental impact on GP consultations, according to the LMCs conference.

Speaking in favour of the motion in London on Thursday, Glasgow GP Dr Murray MacPherson said: ‘There are 86 indicators in 20 clinical domains. What happened to the low bureaucracy contract?'

Dr MacPherson said the current QOF setup was ‘bursting at the seams' with indicators and clinical domains. This may make GPs more likely to spend a large portion of the consultation pursuing indicator targets.

He questioned for how long GPs would continue to have the respect of the patient if they are seen to only pursue indicator-based targets, rather than focusing on the patient in front of them.

Dr MacPherson also said the GPC should recognise the risk of GPs becoming disillusioned and resist moves to introduce new domains unless old ones can be put into the GP contract along with their funds.

In his keynote speech, GPC chair Dr Laurence Buckman urged conference to protect existing clinical domains in QOF, which was meant to fund the work as well as the outcome.

He said: ‘Practices rely on this funding stream to deliver higher quality care and to pay the staff to help them do it.'

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