QOF exception reporting falls to its lowest rate

Greater stability of indicators may have helped to reduce exception reporting rates, experts say.

Professor Lester: annual checks
Professor Lester: annual checks

Exception reporting rates for England have fallen to the lowest level since the new GMS contract was introduced.

However, reporting rates for some indicators remain high and rates have risen for indicators changed in the 2008/9 QOF.

NHS Information Centre data show that the overall exception reporting rate for 2008/9 was 4.87 per cent. This represents a fall of 0.39 percentage points from the 2007/8 rate (5.26 per cent). Exception reporting rates varied from 0 to 59.52 per cent across indicators.

GPC negotiator Dr Chaand Nagpaul said the fall in reports was likely to be a result of improved recall: 'The reduction in exception reporting probably reflects GPs being far more focussed on following patients up and chasing non-attenders.'

Wiltshire GP Dr Gavin Jamie, a QOF statistics expert, believes that lower exception reporting is partly a result of recent stability of the framework.

'With stable indicators practices have well-practised systems for calling patients and patients are also used to the systems,' he said. 'Changing increases the exception rate.'

Professor Helen Lester, deputy director of the National Primary Care Research and Development Centre, said that most indicators with high exception rates made clinical sense, but that high reporting rates for the mental health review indicator (MH 9) remain a concern.

'An annual physical health check can help to pick problems up at an early stage and offer an opportunity for health prevention and promotion advice,' she said. 'Do one in seven people on the severe mental illness register really warrant exception reporting from this check?'

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

Half of patients with possible cancer symptoms avoided contacting GP in first wave

Half of patients with possible cancer symptoms avoided contacting GP in first wave

Almost half of people who experienced potential cancer symptoms in the first wave...

GP premises need major investment to let PCNs recruit, warns BMA

GP premises need major investment to let PCNs recruit, warns BMA

Primary care networks (PCNs) are struggling to make use of hundreds of millions of...

NHS unveils £4.2m fund to tackle vaccine inequality

NHS unveils £4.2m fund to tackle vaccine inequality

CCGs with low uptake of COVID-19 vaccine in ethnic minority, marginalised or deprived...

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...

150,000 more people with learning disabilities prioritised for COVID-19 vaccine

150,000 more people with learning disabilities prioritised for COVID-19 vaccine

Around 150,000 more people will be prioritised for COVID-19 vaccination after the...

Dilemma: What should I do if a practice staff member refuses the COVID-19 vaccine?

Dilemma: What should I do if a practice staff member refuses the COVID-19 vaccine?

Dr Peter Mackenzie and Ceylan Simsek from Medical Protection offer some guidance...