Volume 15, Number 3, May-June 2008

Are you shocked by this report?
David Monkman

A key component of the UK General Medical Services (GMS) contract, which was implemented in April 2004, is the quality and outcomes framework (QOF). Since April 2006 a total of 655 points are available in the clinical domain; 55% are directly for cardiovascular disease (including atrial fibrillation), hypertension and diabetes. The anticipated inclusion of peripheral arterial disease (PAD) in the recently revised QOF failed to materialise; this is of particular concern given the wealth of evidence supporting its inclusion.DM is a member of Target PAD.

Br J Cardiol 2008;15:119.

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