The Quality and Outcomes Framework—where next?

Re: The Quality and Outcomes Framework—where next?

8 February 2013

An insightful review, thank you. I continue to be concerned about gameplaying and what the data recorded by general practice teams means (1).

I am disappointed that the excellent work published by the Centre for Health Economics is not routinely referenced in reviews like this (2,3,4). I was interested to note that the most recent paper was not published in a Health Service related Journal

(1) http://dx.doi.org/10.3399%2Fbjgp09X420725
(2)Hugh Gravelle, Matt Sutton and Ada Ma Doctor behaviour under a pay for performance contract: Evidence from the quality and outcomes framework - http://www.york.ac.uk/media/che/documents/papers/researchpapers/rp28_doc...
(3)Hugh Gravelle, Matt Sutton and Ada Ma Doctor behaviour under a pay for performance contract: further evidence from the quality and outcomes framework - http://www.york.ac.uk/media/che/documents/papers/researchpapers/rp34_doc...
(4)Morris S, Goudie R, Sutton M, Gravelle H, Elliott R, Hole A, Ma A, Sibbald B, Skatun D. Determinants of general practitioners’ wages in England. Health Economics 2011;20:147-60.

Competing interests: My income depends upon QOF achievement.

Jonathan P RICHARDS, General Practitioner

Morlais Medical Practice, Ty Morlais, Berry Square, Dowlais CF48 3AL

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