TY - JOUR T1 - Exception reporting as a quality marker JF - British Journal of General Practice JO - Br J Gen Pract SP - 315 LP - 315 DO - 10.3399/bjgp13X668276 VL - 63 IS - 611 AU - Kevork Hopayian Y1 - 2013/06/01 UR - http://bjgp.org/content/63/611/315.abstract N2 - ‘GPs who practise patient-centred, evidence-based care will, inevitably, have higher exception rates. As outliers, they should expect a visit from their PCT hit squad.’I made this prediction at the end of a lecture on Communicating Risk to Patients, delivered at our Faculty Annual Symposium on a sunny summer morning in 2005, just over a year after the introduction of the Quality and Outcomes Framework (QOF). So it was not a surprise but rather a source of satisfaction when my practice received just such a visit 5 years later. The visiting team included a GP who was also a medical adviser to the PCT and whom I respected. The conduct of the visiting team was impeccable and professional. The members gave the impression of having open minds and listened attentively to the reasons for excepting the individuals they had singled out. They courteously pointed out alternatives to … ER -