14/10/2009

BMA "Concerned" On Scorecard System

Although doctors support patients having access to the best possible data about their practice, the BMA today said it remained concerned that patients will not get an accurate picture of practice quality from this new initiative.

The government announced in December 2008 that patients in England would be able to leave feedback about their GP practice on the NHS Choices website.

While much effort has been made to take account of family doctors' concerns about the new online GP practice rating system, the BMA believes rating a GP practice online is not the best way to deliver patient feedback. However, we have been working with the Department of Health to try to ensure the system is as fair as possible and that it will not be open to abuse.

Commenting on the launch of the GP 'scorecard' Dr Laurence Buckman, Chairman of the BMA's GPs Committee, said: "GPs have been getting feedback, through inviting comments from patients, and via surveys or patient participation groups for years, and we always welcome any scheme which supports constructive criticism and feedback. We are pleased that many of our initial concerns, such as the potential for malicious postings or the ability to post a right of reply, have been allayed. However, we remain to be convinced how much real value this will have for patients.

"Such feedback will always be from a self-selected population motivated to post feedback. Unless a significant number of comments are generated - good or bad - it will be impossible to build up a reliable and accurate picture of the practice and its quality." He added that the GP's highest users, the elderly and the long-term sick, who are arguably in the best position to give useful feedback to other patients, are the least likely to post comments, as research shows they have the lowest rate of accessibility to the internet.

The Chairman continued: "We believe other forms of patient feedback, such as surveys or patient participation groups are the best way for practices to get feedback and for patients to make a difference to the way their services are delivered.

"We would encourage every practice to set up such a group if they don’t have one already. Given the financial constraints the NHS is under we think this is the best way to ensure general practice is as responsive to patients' needs as it can be."

(GK/KMcA)

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