How QOF will shrink in 2014/15

As GP leaders announce that next year's QOF will shrink by almost 40%, we look at what will be lost from the framework.

The QOF overhaul will scrap the requirement for GP consultations to last at least 10 minutes

The GPC and NHS Employers have agreed to retire 40 indicators worth 341 points from the framework. It amounts to withdrawing 38% of all QOF points; the biggest overhaul since the QOF was introduced in 2004.

See below an overview of the changes and which targets have been withdrawn.

Summary of changes

Domain Points change
Clinical -175
Public health -33
Patient experience -33
Quality and productivity -100
Total -341
Source: BMA


QOF changes in 2014/15

Retired indicators

  • Stroke risk check in AF (AF002)
  • Cholesterol checks in CHD, PAD and stroke/TIA (CHD003, PAD003, STIA004/5)
  • BP treated to target in hypertensive patients (HYP003)
  • GPPAQ test for hypertensive patients (HYP004/5)
  • Tests for urine albumin, retinal screening, dietary reviews and erectile dysfunction advice in patients with diabetes (DM005/11/13/14/16)
  • Hypothyroidism register and thyroid function tests (THY001/2)
  • Biopsychosocial assessment for depression (DEP001)
  • BMI, cholesterol and blood glucose checks in patients with psychoses (MH004-6)
  • Epilepsy seizure prevention and family planning advice (EP002/3)
  • TSH tests in patients with Down’s Syndrome (LD002)
  • Cardiovascular and fracture risk checks in rheumatoid arthritis (RA003/4)
  • Lifestyle advice for hypertensive patients (CVD-PP002)
  • Smoking status checks (SMOK001)
  • Cervical screening test results system (CS003)
  • Child development checks (CHS001)
  • Antenatal care and screening (MAT001)
  • Information about long-acting reversible contraceptives (CON002)
  • All quality and productivity indicators (QP1-9)
  • Minimum 10-minute consultation (PE001)

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