Intended for healthcare professionals


Tight control of blood glucose in long standing type 2 diabetes

BMJ 2009; 338 doi: (Published 06 March 2009) Cite this as: BMJ 2009;338:b800

Re: Re: Re: Re: Re: Re: Re: Ethics of QOF

Achieving QOF targets may be influenced by playing games with the
data. The extent of gameplaying is disputed. There is an excellent TED
shows how the QOF system is one that will increase the likelihood of
gameplaying: using tokens (points) not money and being part of a group
where nearly everyone does it a little (is every blood pressure reading
coded precisely as the machine displays it?).

Competing interests:
My income depends upon QOF

Competing interests: No competing interests

25 April 2009
Jonathan P Richards
General Practitioner
Morlais Medical Practice CF48 3AL