Doubts over patient reports for QOF

Plans for the quality framework to incorporate reports by patients on how their health has improved could prove tough to implement, experts say.

Patient reported outcome measures (PROMs) are far easier to put in place in secondary care, where the NHS is implementing them first, according to the Picker Institute.

Dr Angela Coulter, chief executive of the institute, a charity that works to promote understanding of patients' perspectives, said at a conference on PROMs last month that the government was 'starting at the easy end'. She said that despite some challenges, it was not difficult to see how the measures would be introduced for elective surgery, as will happen next April.

'It's going to be much more tricky when we come on to long-term conditions,' she said. 'For some long-term conditions, the goal of treatment is not to cure but to maintain at a stable level.

'The aim may be to improve symptoms. With some long-term conditions, people will be declining, and that's to be expected, but you might be trying to ameliorate the decline. So that makes it a very different proposition.'

Dr Coulter said it was vital to collect data in a user-friendly way. To be useful to clinicians and patients, she said, 'electronic data should be introduced directly into the patient record with no need for data entry'.

Simple and intuitive patient reporting systems could allow patients to input data directly, which could be particularly relevant for those with long-term conditions, she added.

'You could do this in general practice with patients who you are seeing quite a lot. The idea is that each time you see them, they fill this in and then you can get a score which will tell you whether the patient is feeling better or not.

'The clinician and the patient can together review the scores to discuss the outcomes of treatment, if treatment needs to be adjusted, and so on,' she said.

tom.moberly@haymarket.com.

Have you registered with us yet?

Register now to enjoy more articles and free email bulletins

Register

Already registered?

Sign in

Follow Us:

Just published

Viewpoint: Why NICE guidance on domestic abuse needs to be updated

Viewpoint: Why NICE guidance on domestic abuse needs to be updated

Dr Vasumathy Sivarajasingam explains why screening for domestic abuse should be standard...

PCNs opt out of phase 2 of COVID-19 vaccination programme over workload pressure

PCNs opt out of phase 2 of COVID-19 vaccination programme over workload pressure

Some PCNs have opted out of phase 2 of the COVID-19 vaccination programme, with others...

UK COVID-19 vaccination programme tracker

UK COVID-19 vaccination programme tracker

GPs across the UK are playing a leading role in the largest-ever NHS vaccination...

CVT risk from COVID-19 infection 'significantly higher' than from vaccines, study suggests

CVT risk from COVID-19 infection 'significantly higher' than from vaccines, study suggests

The risk of cerebral venous thrombosis (CVT) following COVID-19 infection is eight...

‘Warm and kind’ retired Derbyshire GP dies from COVID-19

‘Warm and kind’ retired Derbyshire GP dies from COVID-19

Retired Derbyshire GP Dr Om Prakash Chawla, who was known for his warmth and kindness,...

GPs can learn from pandemic to strengthen relationship with patients, says RCGP chair

GPs can learn from pandemic to strengthen relationship with patients, says RCGP chair

General practice can build on changes to care during the COVID-19 pandemic to strengthen...