Cardiovascular QOF targets should be simplified to focus on treatment

Performance-related payments for tackling heart disease in primary care are too complex, according to cardiologists.

QOF pay should be simplified and based more on disease treatment and prevention, and less on risk factor measurement, they argue (BMJ 2007; 335: 523-4).

Professor Bruce Guthrie and colleagues said that 15 per cent of payments, worth an estimated £200 million across the 11,000 UK practices, arose from the measuring and recording of cardiovascular risk factors.

hey called for the treatment of risk factors to carry more importance in the scheme to clearly identify opportunities for intervention and improved patient care.

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