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

£20 notes spread out

VAT trap for PCNs could strip millions of pounds from general practice

Tens of millions of pounds could be stripped from general practice because work carried...

Talking General Practice logo

Podcast: Is the BMA representing GPs effectively, why GPs face a pension tax hit, and views on the workload crisis

In our regular news review the team discusses representation of GPs, a new survey...

Man sleeping

NICE guidance on insomnia backs app to replace sleeping pills

Hundreds of thousands of people with insomnia could be offered treatment via a mobile...

Health worker prepares a dose of COVID-19 vaccine

JCVI backs autumn COVID-19 booster campaign for high-risk adults and NHS staff

Frontline health and social care staff and adults at increased risk of severe illness...

GP consultation

Government accused of 'misleading' claims on general practice workforce

GP leaders have accused the government of making misleading claims about the general...

Consulting room door

LMC calls for enhanced access to be scrapped after abuse forces practice to close reception

A Midlands LMC has backed a practice forced to close its reception desk after abuse...