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This is one of the recommendations from the ‘strategic’ section of the RCOG/RCM undermining toolkit.


Commissioners should consider quality and outcomes framework (QOF) incentives around good practice in workplace behaviour. These may be surrogates for improved team performance.

A simple example is: the higher the appraisal rate in an organisation, the lower the mortality rate for common operations such as fractured neck of femur which is independent of other factors.

Elsewhere on the site

Resources and support for trainees
Further resources to support specialty trainees in O&G
Resources and support for trainers
Resources to help trainers deliver the specialty training programme in O&G