Letters Quality and outcomes framework

QOF as Trojan horse

BMJ 2009; 338 doi: https://doi.org/10.1136/bmj.b191 (Published 21 January 2009) Cite this as: BMJ 2009;338:b191
  1. Dougal J Jeffries, general practitioner1
  1. 1The Health Centre, St Mary’s, Isles of Scilly TR21 0HE
  1. dougal.jeffries{at}ioshc.cornwall.nhs.uk

    I have mistrusted the quality and outcomes framework (QOF) from the start, and its true Trojan horse characteristics are becoming increasingly obvious.1

    Generally, as each target is attained so it is removed from the equation and a new one introduced. More clinical and non-clinical areas are added, but of course no new resources are offered to …

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