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The QP was a core part of the reforms. The money to be taken from GP earnings and redistributed to those who deliver great Commissioning. This would have been a really useful lever and incentive to get true, grass roots, GP engagement and improvement.
It has been watered down and bastardised to the extent that it is now nothing more than a meaningless acronym.
BH needs to accept that she has failed to deliver one of the few genuinely new levers within the reforms and move on rather than develop an expensive, worthless fudge.