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The GP survey has strengths,granted, but it is highly unlikely it adequately includes patients from the groups who are at increased risk of not having a positive experience and service from their GP.... let's not pretend it is some holy grail of patient experience measure because it's not.

What worries me is:
- as the 'F&F' test becomes more and more restricted in both its use and the sample size, and it's already dubious validity and usefulness becomes ever more restricted, is it going to be a hugely wasteful white elephant?
- if we are not using it in more places than we are using it - what are we going to do instead in these places?

I note with wry resignation the apparent lack of importance of ' service improvement' versus 'net cash savings' to the DH. Quality anyone?