Exception reporting, which allows GPs to exclude patients from their quality and outcomes framework assessment, must be abolished, writes Asthma UK chief executive Neil Churchill in this week’s HSJ.

Exception reporting is allowed to remove any disincentive for practices to take on high risk patients such as residents of care homes. However, research by Mr Churchill suggests it also enables some GPs to achieve the same or higher levels of income as those treating many more disadvantaged patients.

Mr Churchill claims exception reporting “is a barrier to GPs focusing on population health.”

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