How can anyone make any assessment in 2008 on the health benefits of a contract implemented in 2004, with the principal aim of improving the health of a population (GP practices earning 58% for 5% less work, audit office finds, February 28)? The National Audit Office is certainly correct if it says the government under-estimated GPs willingness to work hard to reach agreed targets, but can have no idea yet whether there have been health benefits to patients.
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