GP performance on retired QOF indicators 'should be monitored'

Performance on indicators retired from the QOF must continue to be monitored, according to researchers assessing the framework for NICE.

Prof Lester: part of QOF review
Prof Lester: part of QOF review

The experts said it was vital to assess how cutting incentives affected achievement.

Achievement could be assessed using the General Practice Extraction Service or the QResearch database, a team from the National Primary Care Research and Development Centre (NPCRDC) has said. The researchers published their analysis of indicator removal in the BMJ last week.

They set out a rationale for identifying indicators that should be removed from QOF, such as when achievement is high, or has reached a ceiling.

Payments could be gradually, rather than immediately, reduced for indicators removed from the framework, the researchers suggest.

The NPCRDC, led by part-time GP Professor Helen Lester, deputy director of the NPCRDC, is reviewing QOF indicators for NICE's Independent QOF Review Committee.

GPC negotiator Dr Chaand Nagpaul said the committee recognised that there would be a need to refine the QOF and that some indicators would need to be retired on the basis of changing evidence.

But, he said it was important not to consider QOF as simply rewarding achievement.

‘QOF was always designed to fund not just performance, but also workload,' he said.


VIDEO - Watch Professor Lester discussing the pilot QOF indicators

 

GP Online recommends

BMJ Online 2010

Read more

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

GPs warned over prescribing beyond their competence as hospitals shift workload

GPs warned over prescribing beyond their competence as hospitals shift workload

GPs must resist pressure to prescribe medication outside their competence and push...

Government clarifies how GPs should handle COVID-19 test results

Government clarifies how GPs should handle COVID-19 test results

GPs have been reassured they do not need to follow up COVID-19 tests amid confusion...

NHS England to redesign GP appraisal in light of COVID-19 pandemic

NHS England to redesign GP appraisal in light of COVID-19 pandemic

GP appraisals are being redesigned to have a greater focus on wellbeing and reduced...

Primary care to lose millions in funding unless PCNs hit recruitment targets in pandemic

Primary care to lose millions in funding unless PCNs hit recruitment targets in pandemic

Hundreds of millions of pounds could be lost to primary care if primary care networks...

Practices told to prepare for 'major expansion' of flu vaccination as QOF pared back for 2020/21

Practices told to prepare for 'major expansion' of flu vaccination as QOF pared back for 2020/21

GP practices have been told to 'gear up for a major expansion of the winter flu programme'...

NHS England unveils GP contract plans for second phase of COVID-19 response

NHS England unveils GP contract plans for second phase of COVID-19 response

GPs have been told to re-start health checks and other suspended services as NHS...