The Qualities and outcomes framework in generla practice is a bean counting exercise that bears no relation to good clinical care. GP surgeries simply tick boxes to gain points. Scrap the system and allow the money to be used as the Doctors see fit so they can concentrate on clinical care for thier patients not chasing money.   

Why is this idea important?

Clinical care will never be achieved by the use of bean counting, clinical care is something that is decided between the Doctor and the patient and should be outside incentive schemes.

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