Practices of average size do best in Wales

Welsh practices have seen a small fall in their average quality scores due, in the main, to the changes to the clinical indicators.

The average Welsh quality score for 2006/7 was 947 points, down from 1,003 in 2005/6.

However, the 2005/6 figures included 50 points for access which have now been abolished. This means the average score has actually fallen by six points.

Welsh practices scored lowest in the new depression and mental health domains, which brought down overall clinical achievement.

However, despite fears that CKD indicators would be difficult to achieve, practices scored nearly 100 per cent of points in this area.

Practice size proved a significant factor in Welsh quality achievement with the smallest and largest practices doing worst.

Those with lists of over 10,000 scored lowest in clinical achievement. However, single-handed practices did least well overall, with only 62.5 per cent scoring over 900 points, compared with 84.3 per cent of all practices.

Dr David Bailey, chairman of GPC Wales, said he was very pleased with the Welsh figures: 'I think it reflects very well on Welsh GPs that they have only dropped six points when there were 120 new points and indicators this year. It is a remarkable achievement when Welsh GPs are facing 14-15 per cent higher prevalence than elsewhere.'

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