Intended for healthcare professionals

Editor's Choice Editor’s choice

Thinking caps on

BMJ 2009; 339 doi: (Published 16 December 2009) Cite this as: BMJ 2009;339:b5471

Squash QOF

Following a recent consultation with a patient I want to express my
desire to open up a lobby group to squash QOF, abolish the PHQ9 and most
of the prompts that appear as postits on my computerised record.

I chatted to the patient. She wants to die rather than have her
disability allowance downgraded. She rose freely from her chair to show me
how she cannot straighten up properly, she can only go to church or to her
child’s school if given a lift, and then needs crutches (sticks I think).

I have come to the conclusion that the prompts interfere with the
natural flow of my work & my thinking processes; that my manager
telling me I did not score points for this or that likewise in reality
make patient care worse. We need, I think, to rebel, throw out this
dreadful stuff and tell the auditors and inspectors to get lost. Peer
review spear review. Let us judge ourselves & the patients choose who
they want.
Tony Walsh

Competing interests:
None declared

Competing interests: No competing interests

02 February 2010
Tony - Anthony C Walsh
Shortstown Surgery MK42 0UF