Archway Surgery used the same Quality
and Outcomes framework system that applies to the new General Medical
Services Contract. In year ending 31st march
2007 we scored 99.94% of points available.
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There are clinical and administrative domains. Most of the clinical
domains are gleaned off the computer system.
Reports, with no patient
details, are automatically sent to the a National Service called QMAS.
A huge national disease register is being created with this data. This
massive project is thanks to the ability of the current small G.P.
software houses to create programmes that produced the data in standard
format to put on the new central servers. QMAS is the most successful part of
Connecting for Health, as it uses what CfH called legacy
systems. The
programme depended on those small clinical
system suppliers which Connecting for Health, the national IT
programme once planned planned to abolish.
The Primary Care Trusts come round to surgeries and inspects each
practice, and goes
through the clinical and administrative domains before the end of the
year. G.P.s earn points, up to 1050 in 2006. There was a glitch in the
definitions such that it is impossible to earn 1050 as Dacorum reduced
the points available to 1048 in 2005.
We did not aim for all the points since
some of the points depend on hospital reports, and some of the scores
are of dubious
clinical benefit. Working towards them could have detracted us from
other clinical areas,
not measured in this scheme.
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