Quality and Outcomes Framework
The Quality and Outcomes Framework (QOF) is a voluntary system of financial incentives. It is about rewarding contractors for good practice (and its associated workload) through participation in an annual quality improvement cycle.
Changes to the 2012/13 QOF agreed with effect from 1st April 2012
Directions to Local Health Boards as to the Statement of Financial Entitlements (Amendment) (No.13) Directions 2012
Changes to the 2011/12 QOF have been agreed with effect from 1 April 2011.
QOF 2010/11 Data
The QOF data for 2010/11 can be found here
New Quality & Productivity indicators for QOF
Information regarding the new Quality & Productivity indicators can be found on its dedicated page.
End Year Process 2009-10 and PE7 & PE8 easement
Please find attached details of the year end arrangements for QOF. The arrangements include steps necessary for calculation of entitlement to the PE7 and PE8 easement that formed part of the H1N1 DES. Also attached is a simple spreadsheet for recording the H1N1 priority group 1 information that practices need to supply.
Message from the Primary Care Informatics Programme
I can now confirm that the Audit+ update as detailed in my email on the 26th March has now been released by Informatica and will be deployed to practices automatically overnight. Practices returning to work on Tuesday morning should therefore find the results of this new search already available within Audit+ provided the PC acting as the Audit+ server has been left switched on.
Please note that this update is not scheduled to download until after close of business today and is an automated process. Therefore practices do not need to manually download an Audit+ update.
Following a number of queries from practices and LHBs, I would like to clarify that for the purposes of attaining the easement to the PE07 & PE08, as stated within the Directed Enhanced Services Pandemic Influenza (H1N1) Vaccination Scheme, vaccinations given to patients in JVCI Priority Group 1 are to be used to calculate the achieved uptake rate. The definition of each at risk group can be found in the CMO letter of the 7th October (attached).
The year end arrangements require practices to sign off QOF achievement excluding PE7 and PE8 this year. This follows a breach of the ONS Code of Practice for National Statistics last year. Results for PE7 and PE8 will not be available to practices or LHBs until 17 June. A statistical release on the Welsh GP Access Survey will be published on that day and the data will then become available in the public domain.
Quality and Outcomes Framework guidance for GMS contract 2009/10 (Date added 13th May 2009)
QOF234 - Evidence Submissions Press Release (Date added 22/01/2007)
QOF218_6 - Information Leaflet (Date added 22/01/2007)
QOF 06/07 Exception & Exclusion Criteria (Date added 14/09/2007)
Quality and Outcomes Framework Achievement Data (QOF), measures how practices are delivering on the GP contract. It also makes it easier to monitor long-term conditions such as chronic heart disease, stroke and diabetes. This means that over time it will help tackle health inequalities by targeting those at risk and targeting resources where it’s needed most.
The data covers a range of indicators which are part of the new GP contract. These include management of chronic conditions, the patient experience, how the practice is organised and specific services such as cervical screening and maternity services. Practices are awarded points according to the number of indicators they meet and they receive funding accordingly.
The more points the practice achieves, and the more services they provide, the more money they earn, although the final sum paid to practices is also adjusted to take account of their workload and the relative health of the patients in their area.
The QOF is designed to make it easier to monitor patients with long-term conditions. The 18 clinical areas are:
GP surgeries are paid according to how many points they score. Points are awarded according to how well the surgery has performed. Out of the 1,000 points available, 655 are for good clinical care, 181 for surgeries that are well organised, 108 for patient experience, 36 for additional services and 20 for holistic care.
The QOF is designed to improve the quality of service provided to patients. The indicators and achievement levels in QOF are currently being reviewed as part of a planned continuous improvement programme.
Proceed to the QOF Achievement Data.
Annual Review Visits
Two Lay-Assessor Training Sessions were held in September 2004. The presentations given were Annual Review Visits, Primary Care and the NHS, The Role of the Lay Assessor and New GMS Contract.
A guidance note relating to Annual Review Visits & Patient Confidentiality is now available.
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Following the implementation of the GMS contract, workshops were held in Pontypool, Mold and The National Botanic Gardens of Wales to update the Primary Care staff at the LHB's on the progress of QOF and to answer any questions they may have had.
Mentioned at the regional QOF awareness events was the development of a ticksheet for use in the QOF visits. This was an initial idea and we feel there are better and more fit for purpose tools already available. One such tool has been developed by BSC Contractor Services and is available from Sally Hopkins BSC Swansea. Another has been developed by Cheshire West PCT and can be accessed by the following link:
Advice on the content of the post visit report is available at the following page:
Several questions have been raised on code of confidentiality, DoH guidance has been produced and can be accessed by the link below,
Other useful material is available on the NATPaCT website and can be accessed by the following link
More useful links
Freedom of Information Act and QOF - a collection of the most frequently asked questions about the Freedom of Information Act and how it fits in with QOF.
Last updated: 03/04/2012