Question to the Department of Health and Social Care:

To ask the Secretary of State for Health and Social Care, whether his Department has made an assessment of the potential impact of target-driven GP contracts on the quality of care and doctor-patient relationships.

The GP Contract sees practices receive funding through a range of income streams.

The Quality and Outcomes Framework (QOF) is an optional pay-for-performance scheme that makes up approximately 10% of overall practice income. The indicators and thresholds included in the QOF are developed in accordance with National Institute for Health and Care Excellence guidelines, underpinned by a robust evidence base. Thresholds are designed to be attainable, while encouraging and incentivising practices to provide the best possible care. Thresholds are aspirational rather than a contractual obligation.

As part of our recently published Medium-Term Planning Framework, we have introduced a new and ambitious target to ensure all urgent appointments are provided on the same day, so that patients requiring urgent care are prioritised. The Department continues to engage with general practitioners broadly to ensure the targets are achievable, reflect the needs of the populations they serve, and to understand barriers to meeting this target.