London PCT raises bar with QOF-plus

Additional payments for improved patient outcomes are being offered to GPs by Hammersmith and Fulham PCT, in London.

The PCT is spending £2 million a year over the next three years on 'QOF-plus', an initiative it co-developed with Imperial College London.

Practices will be paid to hit higher targets for existing quality indicators in asthma, cervical screening, diabetes, hypertension, heart disease, mental health and stroke.

Payments are also available for achievement in other areas, including cardiovascular disease, alcohol misuse, smoking cessation, ethnicity and patient experience.

Like the national deal, QOF-plus values points at £124.60 and weights them according to list size and prevalence.

The PCT said the scheme would help it to focus more on primary prevention and on targets reflecting local need.

'The current national quality framework thresholds have arguably been set too low.

'Once the threshold is achieved, there are no further incentives to tackle the most challenging groups of patients, increasing the chance of widening health inequalities,' a spokesman said.

tom.moberly@haymarket.com

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