Poor patient memory is affecting achievement pay

Practices still stand to lose almost £3,000 on average because so few patients referred for elective surgery recall being offered a choice of hospital, according to the latest statistics from the DoH.

Since January 2006, GPs have been expected to offer patients a choice of at least four hospitals at the point of referral.
Under the Choice and Booking directed enhanced service (DES) in England, practices receive achievement pay if 60 per cent of patients referred recall being offered this choice. The achievement payment is 48p per patient on the practice list, or £2,828 to an average-sized practice with 5,891 patients.

Figures for May and June, published last month (GP 17 November), showed that only 30 per cent of patients recalled being offered choice. Although the latest figures for July do show an increase it is only to 35 per cent.

Similar increases in July’s figures show 32 per cent of patients were aware before they visited their GP that they had a choice of hospitals, compared with 29 per cent in the May/June survey.

Also 55 per cent of patients who were aware of choice recalled being offered choice compared with 51 per cent in the May/June survey.

GPC negotiator Dr Richard Vautrey said that the surveys bore out the GPC’s worst fears about the unfairness of basing GP pay on patient survey results.

Have you registered with us yet?

Register now to enjoy more articles and free email bulletins


Already registered?

Sign in

Just published


NICE moves CVD advice closer to QOF and updates treatment escalation options

NICE draft guidance on cardiovascular disease backs a new target for lipid levels...

GP surgery sign

GP alert system shows practices under major pressure

General practice has moved up to an 'OPEL 3' pressure rating nationally with two...

Podcast: How making your practice a better place to work can improve patient care

Sheffield GP Dr Ben Allen explains how focusing on staff and improving his practice's...

X-ray sign

Spike in TB cases prompts public health warning

Cases of TB in England have risen by 7% compared with last year, prompting a warning...

COVID-19 vaccine

GPs demand investigation as winter vaccine 'mismanagement' risks patient safety

GP leaders in England have demanded an investigation into 'mismanagement' of this...

Medical centre sign

GP 'engineering' fears as small practice contracts offered on branch-only basis

GP leaders have raised concerns over the 'engineering' of general practice after...