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Checking-Up on Doctors: A Review of the Quality and Outcomes Framework for General Practitioners

James Gubb and Grace Li, November 2008

The Quality and Outcomes Framework (QOF) links up to a third of general practice income to achievement against a series of quality indicators. While it has delivered benefits in the treatment of conditions included, the net benefit is unclear. There is evidence that the financial incentive is diverting attention away from other conditions and harming the relationship between GPs and patients.

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