Monitoring of GP incentive scheme has been inconsistent, report says

BMJ 2011; 342 doi: (Published 03 February 2011) Cite this as: BMJ 2011;342:d745
  1. Jacqui Wise
  1. 1London

The Quality and Outcomes Framework (QOF), which covers GP practices in England, is poorly administered and monitored in some areas of the country, according to a report by the Audit Commission.

Around £1bn is paid out each year to more than 8300 GP practices under the scheme, which incentivises GPs to improve clinical care and produce better outcomes. Achievement under the QOF is high—in 2009-10 GP practices achieved an average of 936.9 points out of the 1000 points available. The average payment to GP practices was £118 770.

Primary care trusts are responsible for ensuring that payments under the scheme are properly made. The report, Paying GPs to Improve Quality, is based on the findings of external auditors who carried out work at 12 trusts and spoke directly to three trusts. It found that …

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