GP pay-for-performance fails to improve chronic care

SEVEN years of GP pay-for-performance has failed to significantly reduce mortality rates for chronic diseases in the UK, a study shows.

In fact, since the introduction of the costly Quality and Outcomes Framework program, mortality for those conditions not linked to incentives has either decreased more slowly or increased.

Researchers compared population mortality rates in the UK with those in 26 comparable high-income countries without primary care incentive schemes.

They looked at a composite outcome of deaths from conditions attracting payments - including