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Malignancy and deep vein thrombosis.

British Journal of General Practice, November 2006 The more general point relates to the insidious and apparently unstoppable trend towards centrally dictated micromanagement of primary care by government, aided and abetted by expert advisory groups and mediated through the QOF. The Back Pages carry pieces lamenting this trend in every issue (see Mark Vorster’s letter and Mike Fitzpatrick’s column in the October issue for examples), as does every other current UK medical journal and newspaper. Practice common rooms echo the same tune, and I don’t know of a single GP colleague who does not regret at least a part of this takeover of our professional independence. What can we do about it? I suggest that at the very least we can fight back — at some cost to our own pockets — by declining to comply with those parts of the QOF that offend us the most.