LMC Conference 2014: Calls to scrap QOF clinical indicators rejected

Calls to transfer all remaining clinical QOF points to core pay have been rejected by LMCs, as GP leaders warned the measures still had value in patient care.

Dr Andrew Green: QOF concerns (photo: Pete Hill)
Dr Andrew Green: QOF concerns (photo: Pete Hill)

Dr Paul Abbott from Cornwall and Isles of Scilly LMC said QOF had become a 'box-ticking monster' and called on GPC to negotiate the transfer of all clinical QOF points into core general practice funding.

He said QOF was 'past its sell-by date', and passing the money into global sum would make it harder for government to selectively remove the funding, although it would be subject to the Carr-Hill formula.

He referenced a recent GPonline article that first revealed NICE is considering multimorbidity QOF indicators.

Dr Abbott said in response: 'Brilliant. That means we can roll 200 clinical indicator [points] into 10 points and free up another 190 points to intrude on our valuable consultation time with patients.'

'We complain if [patients] come to a consultation with more than one problem. What hope have they got when they can't even introduce their issues until we've ticked 10 boxes and addressed our multiple agenda of QOF tasks.'

But conference voted against the motion at the conference on Friday.

'Gateway' to good care

Dr David Morris from North Wales LMC said: 'QOF is an excellent support to our care. It supports all of our registered patients, not just the ones that come to see us.'

Dr Kieran Sharrock from Lincolnshire LMC said the core contract was equally as box-ticking as QOF and transfering funding from one to the other would solve nothing.

He added that QOF was also the 'gateway' to providing good quality patient care.

Dr Andrew Green, GPC prescribing lead, had warned that GPs would still need to carry out much of the clinical work incentivised through QOF even if funding was passed to core pay, while performance and outliers would still be tracked.

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