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Type II diabetics should be aware of the problems with satin drugs
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<blockquote data-quote="phoenix" data-source="post: 506268" data-attributes="member: 12578"><p>As I understand it, they aren't paid to put you on statins. They do have an incentive to reduce cholesterol in some conditions.</p><p> Part of the GP payments system is based on targets This goes to pay all the expenses of a practice, not just the GPs salary.</p><p>. Each target is worth so many points , each point last year was worth £133.76.. They only get the points if a certain percentage of their patients achieve the target. (the percentage varies between practices depending on the makeup of the practice so for some it may be as high as 80% others only 40%)</p><p>So if you have heart disease or peripheral artery disease or diabetes then there is a target concerned with cholesterol levels.</p><p>For diabetes the target says</p><p>DM004. The percentage of patients with diabetes, on the register, whose last measured total cholesterol (measured within the preceding 12 months) is 5 mmol/l or less</p><p>They get 6 points if a percentage of the people with diabetes have cholesterol below this level. The percentage ranges from 40-75%</p><p> </p><p>So for this indicator, if enough patients achieved the target then the practice would receive £802</p><p>It doesn't matter how that is achieved, could be through diet or through medication. Obviously statins reduce cholesterol they will be prescribed but if they don't 'work', then that won't count towards the payment.</p><p> </p><p>There are a large number of targets for all sorts of conditions.</p><p><a href="http://www.nhsemployers.org/Aboutus/Publications/Documents/qof-2013-14.pdf" target="_blank">http://www.nhsemployers.org/Aboutus/Publications/Documents/qof-2013-14.pdf</a></p><p>The whole GP payments system is very complicated.</p></blockquote><p></p>
[QUOTE="phoenix, post: 506268, member: 12578"] As I understand it, they aren't paid to put you on statins. They do have an incentive to reduce cholesterol in some conditions. Part of the GP payments system is based on targets This goes to pay all the expenses of a practice, not just the GPs salary. . Each target is worth so many points , each point last year was worth £133.76.. They only get the points if a certain percentage of their patients achieve the target. (the percentage varies between practices depending on the makeup of the practice so for some it may be as high as 80% others only 40%) So if you have heart disease or peripheral artery disease or diabetes then there is a target concerned with cholesterol levels. For diabetes the target says DM004. The percentage of patients with diabetes, on the register, whose last measured total cholesterol (measured within the preceding 12 months) is 5 mmol/l or less They get 6 points if a percentage of the people with diabetes have cholesterol below this level. The percentage ranges from 40-75% So for this indicator, if enough patients achieved the target then the practice would receive £802 It doesn't matter how that is achieved, could be through diet or through medication. Obviously statins reduce cholesterol they will be prescribed but if they don't 'work', then that won't count towards the payment. There are a large number of targets for all sorts of conditions. [url]http://www.nhsemployers.org/Aboutus/Publications/Documents/qof-2013-14.pdf[/url] The whole GP payments system is very complicated. [/QUOTE]
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Type II diabetics should be aware of the problems with satin drugs
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