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BMJ 2005;331:536 (10 September), doi:10.1136/bmj.331.7516.536
Andrew Cole
London
| The first 150 words of the full text of this article appear below. |
Family doctors exceeded all expectations in achieving the quality outcomes laid down in their new contract but have created a financial headache for hard pressed primary care trusts in the process.
New health department figures show that almost all England's 8542 practices took part in the first year of the Quality and Outcomes Framework, a funding arrangement that rewards practices for providing quality care. On average they achieved 959 (91%) of the 1050 points offered for meeting a range of clinical and organisational standards.
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Under the new incentive scheme practices are rewarded for every point they score. Points are awarded on the basis of evidence based clinical indicators, including treatments for heart disease and cancer; on organisational issues, such as patients' records; and on indicators of patients' experiences. The normal value of a point is £77.50 ($143;
114) a year, meaning the average practice earned an extra £74 299 from
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