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March doesn’t create QOF pressure. It reveals it. When performance feels unstable at year end, it’s rarely about effort. It’s usually about: • Medicines work without clear ownership • Reviews that weren’t structured early • Monitoring that became reactive • Workflow that tightened under demand QOF rarely slips suddenly. It drifts quietly - then March exposes it. The most stable practices don’t work harder at year end. They design clarity into ownership and review cadence from the start. 💬 Where
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