Average achievement fell from 95.4% to 93.7% last year, with marginal drops in clinical and additional services domains.
But there was a big fall in the patient experience domain. Achievement dropped by 12.7%, the second consecutive year it has fallen.
Total points gained in this domain fell by almost half. This was due largely to the removal of 55 points in PE2 and PE6 in 2009/10, reducing the number of points available.
There was a slight drop of 1.9% in clinical domains to 95.9%. Points gained in organisational domains rose 0.5% to 96.3%.
Achievement in some clinical domains fell greatly.
Practices earned 11.1% less points in the depression domain due to poor performance in the DEP3 indicator introduced last year. Figures for other UK countries released last week showed similar issues with the new indicator and its affect on points earned.
Scores for diabetes fell 3.2% to 95.2%, and there were similar drops in palliative care and CKD domains.
Smoking and AF were the only domains to see a rise, albeit of 0.1%.