examples of indicators used for performancerelated payments include national waiting time targets preventive services patient experience registration in national quality registers and efficiency eg prescribing of generic drugs feeforservice payments on the other hand are said to provide little incentive to improve the quality of care and reduce use of services the government s expectation is that the reforms in primary care with their focus on promoting choice competition and transparency supported by performancerelated incentives will reduce these negative effects and improve the access responsiveness quality and value for money of services