Intended for healthcare professionals

Letters Quality and outcomes framework

Evidence of net benefit is lacking

BMJ 2007; 335 doi: (Published 06 December 2007) Cite this as: BMJ 2007;335:1170
  1. Les J Toop, professor,
  2. Dee Mangin, senior lecturer
  1. 1Department of General Practice University of Otago, Christchurch, New Zealand
  1. les.toop{at}

    Earlier this year, while on study leave in the UK, we were asked to write a piece on the quality and outcomes framework (QOF).1 The more we read and spoke to general practitioners, the more dispirited we became. The mixture of supportive wisdom and self righteous defensive anger in the rapid responses to Heath et al’s article echoes the range of views we heard.2 Clearly (to …

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