From the Frontline

Kill the QOF

BMJ 2013; 346 doi: http://dx.doi.org/10.1136/bmj.f1498 (Published 6 March 2013)
Cite this as: BMJ 2013;346:f1498

Get access to this article and all of bmj.com for the next 14 days

Sign up for a 14 day free trial today

Access to the full text of this article requires a subscription or payment. Please log in or subscribe below.

  1. Des Spence, general practitioner, Glasgow
  1. destwo{at}yahoo.co.uk

We are entering the 10th year of the world’s largest public health experiment in evidenced based medicine—the target driven QOF (Quality and Outcomes Framework). It has cost £10bn in direct payments to general practitioners,1 but this is just the tip of an expensive iceberg. Hidden are the appointments systems overloaded with arbitrary “reviews” and huge increases in investigations and prescribing. Once highly functional general practice computing systems are now clogged with constant pop-up reminders to enter data that are meaningless, useless, and frankly often erroneous. …

Get access to this article and all of bmj.com for the next 14 days

Sign up for a 14 day free trial today

Access to the full text of this article requires a subscription or payment. Please log in or subscribe below.

Article access

Article access for 1 day

Purchase this article for £20 $30 €32*

The PDF version can be downloaded as your personal record

* Prices do not include VAT

THIS WEEK'S POLL