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Education And Debate

Performance assessment is here to stay

BMJ 2004; 329 doi: (Published 08 July 2004) Cite this as: BMJ 2004;329:109
  1. Anna Walker, chief executive1 (
  1. 1 Healthcare Commission, London EC1Y 8TG

    Barker and colleagues look at how performance on one indicator out of 45 affected last year's star rating for their trust. The two specific concerns they raise (which the Commission for Healthcare Improvement discussed with them last summer) are that the target was measured at the quarter end and that it was measured using absolute rather than relative thresholds.

    No one has ever argued that the commission's method was the only way to measure the target. When the commission accepted responsibility for ratings from the Department of Health, some consistency had to be maintained. The previous year, the Department of Health had assessed performance on both inpatient and outpatient targets on an absolute basis.

    The …

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