Letters Quality and outcomes framework

So what are we to do?

BMJ 2007; 335 doi: https://doi.org/10.1136/bmj.39416.396030.BE (Published 06 December 2007) Cite this as: BMJ 2007;335:1170
  1. Trefor J Roscoe, general practitioner principal
  1. 1Sothall Medical Centre, Sheffield S20 5JX
  1. Trefor{at}nhs.net

    I am astounded by Heath et al’s criticism of a process they admit has not yet shown its full benefits.1

    They state that, “Evidence based care was never meant to be a substitute for clinical judgment but, combined with the inducements of the quality and outcomes framework (QOF), it becomes so,” which suggests that we should all over-ride the evidence when it suits …

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