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QOFNovember 4 2014

Annual Quality and Outcome Framework data shows that general practices achieved 94.7% of the total available achievement score in 2014-15 compared to 93.5% in 2013-14.

The average achievement score for practices in England was 529.6 points out of 559, says the Health and Social Care Information Centre. The highest achievements were for obesity and epilepsy where almost 100.0% was achieved.

The highest prevalence rates were for hypertension (13.8%), obesity (9.0%) and depression (7.3%), while the largest year on year differences in register numbers were in cardiovascular disease with a decrease of 1.2 million, and depression, with an increase of 392,771. These are predominantly due to changes in the QOF indicators, says HSCIC.

Among the changes had been a reduction in the maximum number of points available: “448 practices achieved the maximum of 559 points. In 2013-14 there were 162 practices which achieved the maximum of 900 points.”

Dr Richard Vautrey, BMA GP Committee deputy chair, commented: “These figures demonstrate that practices are working hard to deliver the best possible care to their patients despite the huge workload pressures and funding cuts they have had to contend with.

“This increase in QOF achievement is a reflection of the dedication and hard work throughout the year by GPs, practice nurses, practice managers and other practice staff who work together to ensure that the primary care patients receive is the best in the world.”

In Northern Ireland, the average achievement was 642.1 of the 649 points available (98.9%). The data relates to 350 general practices, of which 59 achieved the maximum points of 649, and the median score was 645.9 points.

“Achievement was consistently high throughout Northern Ireland, with the average achievement ranging from 98.6% in Southern Local Commissioning Group and Belfast LCG, to 99.3% in Northern LCG,” said the Northern Ireland Executive.

“Of the clinical registers collected for QOF that measure disease prevalence, prevalence was highest for hypertension (13.2%) and lowest for heart failure due to left ventricular dysfunction (0.2%).

“The average points achieved in the main domains were 465.1 points (99.0%) for clinical, 17.8 points (99.1%) for patient experience, 41.7 points (97.0%) for public health, 99.8 (99.8%) for quality and productivity, and 17.6 points (97.7%) for additional services.”

The data shows that achievement in the rheumatoid arthritis clinical area, which was introduced in 2013-14, remains high at 99.5%.

Links:

HSCIC announcement

HSCIC ‘Quality and Outcomes Framework – Prevalence, Achievements and Exceptions Report England, 2014-15’

BMA comment

Northern Ireland Executive announcement

NIE ‘QOF Exception Reporting Bulletin 2014-15’

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