Revealed: QOF targets facing axe

QOF indicators worth up to £23,000 to the average practice could be scrapped in next year's GP contract, if proposals from NICE are adopted.

Support for smokers could be cut from the QOF if NICE's advice is followed

A sweeping review of QOF by NICE outlined 22 targets worth 146 points that advisors said were 'less important' to retain.

It follows a request from NHS England for NICE to advise on how to reduce the size of the framework. See below the indicators under threat and how many points they are worth.

'Less important' indicators

Indicator code Action Points
BP001 Carry out BP checks for adults over 40 15
CHS001 Perform child development checks 6
CON001 Hold a register of women prescribed contraception 4
CON002 Offer information on long-acting reversible contraceptives (LARCs) 3
CON003 Offer LARC advice to women using emergency contraception 3
CS001 Create a plan for managing cervical screening 7
CS002 Screen women for cervical cancer 11
CS003 Run a cervical screening test result service 2
CS004 Audit the cervical screening service 2

Give lifestyle advice to hypertensive patients

DEP001 Assess new depression cases with a biopsychosocial test 21
DM015 Ask diabetic men about erectile dysfunction 4
DM016 Assess patients with erectile dysfunction 6
HYP004 Assess hypertensive patients using the General Practice Physical Activity Questionnaire (GPPAQ) 5
HYP005 Provide brief interventions to 'less than active' patients 6
LD001 Hold a register of patients with learning difficulties 4
LD002 Provide TSH tests to patients with Down's Syndrome 3
MAT001 Offer antenatal care and screening 6
OB001 Hold a register of obese patients 8
SMOK001 Record smoking status 11
SMOK003 Give advice to smokers seeking to quit 2
SMOK004 Offer support and treatment to smokers 12
TOTAL 22 indicators 146

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