Examples of indicators used for performance-related payments include national waiting time targets, preventive services, patient experience, registration in national quality registers and efficiency (e.g. prescribing of generic drugs). Fee-for-service 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 performance-related incentives- will reduce these negative effects and improve the access, responsiveness, quality and value for money of services.