Dr Thomas Mills


Dr Thomas Mills

Dr Thomas Mills is a health policy researcher with a PhD in politics from the University of Westminster. He is interested in public service reform, evidence-based policy and political economy. His doctoral research developed a qualitative methodology for the evaluation of policy and governance for complex issues. This was applied in a case study of diabetes.See all posts by Dr Thomas Mills
The Quality and Outcomes Framework (QOF), the pay-for-performance protocol in general practice, has been the subject of significant debate since it was rolled out in 2004. At the core of the debate is whether the quality of general practice can be quantified for the purposes of performance management. There are concerns that the QOF has facilitated a “box ticking culture” which undermines the doctor-patient relationship and... Read More