Wales measles: Long queues for MMR jabs at hospitals

BBC News 6th April reports Long queues for MMR jabs at hospitals, but does not explore the reasons why this situation exists in S Wales and the Northern region only.

Does it say something about the areas affected by the measles outbreak? GPs have been offered incentives to get vaccination rates in their patients over 95% for years. However, if a practice’s rate of uptake is very low, low enough for you to perceive that you have no chance of reaching the desired performance, it disincentivises: another perverse incentive. A practice has to be naturally near a target for it to be useful. The Quality and Outcomes framework (QOF) is full of targets which have increased like an epidemic over 10 years, but GP practices can now be compared. The highest outcomes are in the most affluent areas. The figures also allow for national disease figures. The Welsh Government wishes to reduce inequalities, but whatever has happened in Measles Vaccination uptakes and disease to date has obviously increased them.

Update 14th April 2014 Brian Deer in The Sunday Times reports:

MMR scandal’s biggest victim

1,400 Swansea children may catch measles. Brian Deer reveals how a rogue doctor sparked the health crisis – and party blames the South Wales Evening Post.

Update 21st April 2013

The fact that one person has died from Measles is a reflection of our Media and its inability to separate scientific detail and fact from opinion. MMR provides better and more reliable resistance than the individual vaccines. The Media failed to back up the CMO in his request for “sufficient vaccination levels to achieve “Herd Immunity” for our children. There is no evidence for a connection with autism. but if you wish to read many articles on this ….. 

The situation begs the question of whether children should only be allowed into schools with a vaccination certificate as occurs in other countries, and it highlights the tension between the rights of the individual and the needs of the state.

This entry was posted in A Personal View, General Practitioners, Perverse Incentives, Professionals, Stories in the Media on by .

About Roger Burns - retired GP

I am a retired GP and medical educator. I have supported patient participation throughout my career, and my practice, St Thomas; Surgery, has had a longstanding and active Patient Participation Group (PPG). I support the idea of Community Health Councils, although I feel they should be funded at arms length from government. I have taught GP trainees for 30 years, and been a Programme Director for GP training in Pembrokeshire 20 years. I served on the Pembrokeshire LHG and LHB for a total of 10 years. I completed an MBA in 1996, and I along with most others, never had an exit interview from any job in the NHS! I completed an MBA in 1996, and was a runner up for the Adam Smith prize for economy and efficiency in government in that year. This was owing to a suggestion (St Thomas' Mutual) that practices had incentives for saving by being allowed to buy rationed out services in the following year.

1 thought on “Wales measles: Long queues for MMR jabs at hospitals

  1. Pingback: Parents warned that number of cases of scarlet fever at a 24 year high – South Wales | NHS reality. An NHS soapbox. Speakers' corner for the NHS.

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