Quality framework 'harms' holistic care

Financial incentives improve chronic disease management, but potentially to the detriment of holistic care, according to a study of Norfolk practices.

Researchers looked at four specific indicators of care in 18 practices: one each for hypertension and asthma, from the quality framework, the other two, derived using a variety of sources including NICE guidance, were for osteoarthritis and depression.

Achievement of the quality framework indicators increased from 75 per cent in 2003 to 91 per cent in 2005. In contrast, there was minimal improvement in the non-quality framework indicators, from 35 to 36 per cent. Furthermore, the researchers noted that certain aspects of care for quality framework conditions that were not covered by a specific indicator also improved.

Dr Nicholas Steel, senior lecturer in primary care at the University of East Anglia, presenting the results at the RCGP conference in Edinburgh, said there had been a big improvement in the management of conditions incentivised under the quality framework and that chronic disease management was now very well organised in the UK. But he added that conditions not included in the quality framework remained a low priority and that GPs might be missing out on the holistic aspect of their care.

monika.polak@haymarket.com

Comment below and tell us what you think

Have you registered with us yet?

Register now to enjoy more articles and free email bulletins

Register

Already registered?

Sign in

Follow Us:

Just published

RCGP urges GPs to collaborate with pharmacies on flu jabs this year

RCGP urges GPs to collaborate with pharmacies on flu jabs this year

The RCGP and the Royal Pharmaceutical Society have called on GP practices and community...

COVID-19 impact on medical schools risks 'serious damage' to future NHS workforce

COVID-19 impact on medical schools risks 'serious damage' to future NHS workforce

Medical training and the future NHS workforce could be seriously damaged by the financial...

GPonline's news editor wins medical journalism award

GPonline's news editor wins medical journalism award

GPonline news editor Nick Bostock has won News Story of the Year (specialist media)...

How GPs can support patients with 'long COVID'

How GPs can support patients with 'long COVID'

GPs must be ready to support patients with physical, psychological and social problems...

BMA demands 'rule of six' overhaul to prevent further lockdowns

BMA demands 'rule of six' overhaul to prevent further lockdowns

The government must scrap its high-risk ‘rule of six’ and introduce more stringent...

Average GP practice list tops 9,000 after 30% rise in seven years

Average GP practice list tops 9,000 after 30% rise in seven years

The average GP practice list has risen beyond 9,000 patients for the first time after...