Five indicators have been retired and others amended in what the GPC hailed as ‘important, clinically appropriate changes to QOF’.
Changes have been applied to indicators for AF, CHD, dementia and CKD.
GPC chairman Dr Chaand Nagpaul told GPs when details of the wider GP contract deal for 2015/16 were revealed last month that his team had ‘negotiated stability in the QOF, with no new NICE indicators or changes to thresholds for 2015/16’.
Negotiations on clinical changes ‘within the QOF envelope’ continued after the overall deal was concluded.
Targets worth £5,650 moved
Under changes now agreed for 2015/16, a total of 36 QOF points – worth £5,650 to an average practice – will move to new QOF targets.
AF004 and AF005 will be replaced with NICE indicators NM81 and NM82 to incentivise use of the CHA2DS2-VASc stroke risk score. The two new indicators will be worth 12 points each, up from 6 points each for the previous targets.
The CHD 006 indicator, worth 10 points, has been retired.
The DEM002 indicator, relating to the percentage of patients diagnosed with dementia whose care has been reviewed in the previous 15 months, has been updated to require care plans for these patients, with points allocated to the target rising from 15 to 39.
The timeframe for the DEM003 indicator, which relates to tests on patients newly diagnosed with dementia, will be altered, while kidney disease indicators CKD002, CKD003, and CKD004 – worth 26 points in total – will be retired.
CKD001 will be amended to reflect updates to NICE guidance.
Clinically appropriate changes
GPC QOF lead Dr Richard Vautrey said ‘These important, clinically appropriate changes to QOF recognise the rising practice workload involved in ensuring that patients with dementia get the best possible care.
In addition, changes to the treatment of atrial fibrillation will help to reduce the risk of strokes and ultimately save lives. Reforms to the CKD domain will reduce the focus on box-ticking and free up GPs to treat these patients according to their clinical need.’
Speaking to GP, he said that the addition of care plans to dementia indicator DEM002 should not unduly drive up GP workload because many patients would already be among the 2% receiving care plans under the avoiding admissions enhanced service.
The value of QOF points will be adjusted to account for population growth and changes in practice list size, as confirmed late last month.