NICE reveals suggestions for QOF changes

NICE has released its menu of indicators for the 2011/12 Quality and Outcomes Framework (QOF), covering BP, dementia, diabetes and mental illness.

The 10 new indicators will be considered by NHS Employers and GPC negotiators this winter and those accepted will be added to next year’s QOF.

The proposed changes focus largely on processes, which could slow progress towards the outcomes-based QOF the DoH is keen to pursue.

Under the new indicators, GPs would have a wider range of treatment choices for MI patients. Other indicators promote checks for patients with dementia and mental illness, and foot tests for diabetes patients.

QOF proposals
  • Expanded BP drug choice for MI patients
  • Health checks for new dementia diagnoses
  • Foot sensation tests for diabetes patients
  • Risk classification for feet of diabetes patients
  • Six indicators covering checks for patients with mental illness

GPC deputy chairman Dr Richard Vautrey said he would expect 2011/12 QOF negotiations to be influenced by the DoH’s desire to move towards outcomes-based indicators.

In a White Paper consultation document, the DoH said QOF was ‘failing to deliver any significant degree of continuous quality improvement’.

‘We want the QOF to focus more on the health outcomes that are achieved for patients and to provide incentives for continuous improvements,’ it said.

Dr Vautrey said: ‘A pure focus on outcomes alone may undermine the health inequalities gains QOF has made in recent years, as the evidence clearly demonstrates the benefit of investing in process measures, which will ultimately achieve the best long term outcome for all patients.’

Indicators selected by NHS Employers and the GPC will be added to the changes to the 2010/11 QOF agreed as part of the swine flu pay deal last year.

NICE also recommended four indicators for retirement. These include: cholesterol checks for patients with CHD (CHD7); recording seizure frequency (EP6) and medication review (EP7) for epileptic patients; and following up on patients with mental illness who do not attend their annual review (MH7).

These will join seven other indicators earmarked for retirement last July. Indicator MH7, for patients with mental illness on lithium within the theraputic range, will not now be retired in light of new evidence.

Take part in our new White Paper 2010 survey to be entered into a draw for £50 worth of Amazon vouchers.

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

Redacting information from medical records - advice for GPs

Redacting information from medical records - advice for GPs

MDU medico-legal adviser Dr Ellie Mein provides advice for GPs on reacting information...

Medicine shortages set to continue despite Brexit delay

Medicine shortages set to continue despite Brexit delay

Medicine shortages are unlikely to improve as a result of Brexit being delayed healthcare...

Doctors less likely to be investigated for 'one-off' mistakes under new GMC rules

Doctors less likely to be investigated for 'one-off' mistakes under new GMC rules

The GMC is introducing new measures to reduce the number of full investigations in...

RCGP revokes Sultan of Brunei's honorary title over anti-LGBTQ laws

RCGP revokes Sultan of Brunei's honorary title over anti-LGBTQ laws

The RCGP has revoked the honorary title it awarded the Sultan of Brunei following...

Financial considerations for primary care networks

Financial considerations for primary care networks

Specialist accountant Laurence Slavin highlights the financial issues that practices...

Number of CCGs could be cut by 75% by April 2020

Number of CCGs could be cut by 75% by April 2020

Measures to cut the number of CCGs in England by more than three quarters could be...