'Base local QOFs on national pilots'

Local variations of the quality framework (QOF) should be based on work that has been piloted nationally, according to the National Primary Care Research and Development Centre (NPCRDC).

It argues that if PCTs are given the opportunity to use some local quality framework variants that recognise differences in locality populations and health needs, the indicators they use should be drawn from a piloted national set.

The suggestion is contained in an NPCRDC report submitted to the DoH.

The GPC and NHS Employers are currently in negotiation about how the quality framework could change in April 2008.

The NPCRDC report makes a number of recommendations about possible change.

These include the removal of some indicators or conditions, although it says ‘it is not clear what rules should govern removal from the quality framework’.

The report also suggests that indicators could be removed on a rotating basis, for example conditions could rotate on a three to four-year cycle.

It adds: ‘We do not know what the impact of taking indicators out of the quality framework would be on quality of care.’


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