Diabetes and the quality and outcomes framework

doi:10.1136/bmj.331.7525.1097

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 investmentsbetween sectors

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

The rapidly rising prevalence of diabetes in the United Kingdomdemands an effective response from healthcare services.¹ Britishgeneral practitioners were among the first doctors in primarycare worldwide to manage many aspects of diabetes care in theirown practices,² and by the millennium were providing systematicdiabetes care.³ Primary care based interventions are cost effective—countrieswith strong primary healthcare systems have lower healthcarecosts and healthier populations.⁴ The 2003 general medical servicescontract signalled the government's determination to investin evidence based interventions in primary care and to encouragefurther expansion of chronic disease management, including diabetescare, into general practice.⁵ The contract introduced a qualityand outcomes framework, designed to monitor the quality of thedelivery of primary care.

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

Colin Kenny, general practitioner

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

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