BMJ  2005;331:1097-1098 (12 November), doi:10.1136/bmj.331.7525.1097

Editorial

Diabetes and the quality and outcomes framework

Successful UK initiative highlights inequity of investments between sectors

The first 150 words of the full text of this article appear below.

The rapidly rising prevalence of diabetes in the United Kingdom demands an effective response from healthcare services.¹ British general practitioners were among the first doctors in primary care worldwide to manage many aspects of diabetes care in their own practices,² and by the millennium were providing systematic diabetes care.³ Primary care based interventions are cost effective—countries with strong primary healthcare systems have lower healthcare costs and healthier populations.⁴ The 2003 general medical services contract signalled the government's determination to invest in evidence based interventions in primary care and to encourage further expansion of chronic disease management, including diabetes care, into general practice.⁵ The contract introduced a quality and outcomes framework, designed to monitor the quality of the delivery of primary care.

In this week's BMJ Campbell and colleagues report that general practitioners were already improving effective care for three of the diseases covered by the framework.⁶ One of these . . . [Full text of this article]

(drckenny@aol.com)
Dromore Doctors Surgery, Dromore, County Down BT25 1BD

CiteULike    Complore    Connotea    Del.icio.us    Digg    Reddit    StumbleUpon    Technorati    What's this?

This article has been cited by other articles:

• Keen, H. (2005). Diabetes and the quality and outcomes framework: Diabetes needs reintegration of primary and secondary care. BMJ 331: 1340-1340 [Full text]  
• Greenwood, R., Shaw, K., Winocour, P. (2005). Diabetes and the quality and outcomes framework: Integrated care is best model for diabetes. BMJ 331: 1340-1340 [Full text]  
• Corcoran, J. S (2005). Rates of exception reporting need to be addressed. BMJ 331: 1272-1272 [Full text]  

Rapid Responses:

Read all Rapid Responses

Diabetes Care: implications for the future

George I. Varughese
bmj.com, 12 Nov 2005 [Full text]

Inconsistent levels of exception reporting need to be addressed.

John S Corcoran
bmj.com, 14 Nov 2005 [Full text]

Diabetes shows the way

Graeme M Mackenzie
bmj.com, 15 Nov 2005 [Full text]

Re: Inconsistent levels of exception reporting need to be addressed.

L S Lewis
bmj.com, 15 Nov 2005 [Full text]

Re: Inconsistent levels of exception reporting need to be addressed.

L S Lewis
bmj.com, 15 Nov 2005 [Full text]

Diabetes and Quality and Outcomes Framework

Richard H Greenwood, et al.
bmj.com, 21 Nov 2005 [Full text]

Ensuring access to high quality care for people with diabetes: response to Kenny

Richard IG Holt, et al.
bmj.com, 21 Nov 2005 [Full text]

Diabetes care; primary/secondary, not or but and

Harry Keen
bmj.com, 21 Nov 2005 [Full text]

Peripheral arterial disease – still on the periphery?

Jill Belch, et al.
bmj.com, 9 May 2006 [Full text]

Online poll

Find out more here>> and here>>