Scrapping indicators 'risks undermining QOF'

Retiring process indicators from QOF risks undermining the whole framework, GPC deputy chairman Dr Richard Vautrey has warned.

Richard Vautrey
Richard Vautrey

Earlier this week, NICE announced details of five indicators for which it believes there is a low risk of associated activity levels dropping if they are removed from QOF. These five are all process indicators for which target outcome indicators are also included in QOF. Three of these indicators are for diabetes care.

Dr Vautrey told GP that the value of process indicators must not be overlooked. ‘There is very good evidence that process indicators are as important as outcome indicators, if not more so. If you invest in a process, you will achieve an outcome,' he said. 'Ignoring the value of process indicators risks undermining the foundations of QOF.'

He added that he was concerned about the proposal to remove some diabetes indicators. 'Overall, there will be less resource available to provide comprehensive diabetes services,' he said. Rather than considering individual indicators in isolation, the package of diabetes care provided by general practice needed to be considered as a whole, he argued.

Full details of the NICE recommendations are available here.


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