QOF is reducing health inequality

The introduction of the quality framework has significantly improved BP monitoring and control in England, according to a UK study.

Researchers from Kings College London analysed quality framework data from 97 per cent of practices in England between 2004 and 2007.

They examined the effect of social deprivation on the achievement of BP targets. Overall, the number of adults who had their BP recorded increased from 82.3 per cent in 2005 to 88.3 per cent in 2007.

Over the three-year period, achievement of BP targets in diabetics in the most deprived areas rose 10 per cent to 79 per cent.

The gap between the average BP recording narrowed from 1.7 per cent to 0.2 per cent between practices in the most deprived and least deprived areas.

The researchers conclude that the study adds to evidence that the quality framework is a 'truly equitable public health intervention'.


- BMJ Online 2008.

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