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a stethoscope image cbOctober 30 2017

Cardiovascular disease is the Quality and Outcomes Framework indicator with the highest exception rate, annual statistics published by NHS Digital indicate. In 2016-17, CVD had a 32.3% exception rate overall, compared to blood pressure which had the lowest exception rate overall at 0.5%. 

In terms of QOF prevalence recording, the highest rates were for hypertension at 13.8%, obesity (9.7%) and depression (9.1%). “The conditions with the greatest change in QOF recorded prevalence from 2015-16 are depression (increased by 0.8 percentage points) and obesity (increased by 0.2 percentage points),” said NHS Digital. Prevalence rates for 2015-16 have been recalculated using data for practices included in QOF 2016-17 only.

NHS Digital said that “QOF payments to general practices are calculated from the achievement scores allocated to each indicator. The QOF rewards practices for the provision of ‘quality care’ and helps to fund further improvements in the delivery of clinical care. This year, the value of a QOF point was £165.18.”

On average, general practices achievement score was 534.0 points out of 559, suggesting an average QOF-derived income of £88,206. The maximum was achieved by 883 practices, up 11.9% on the previous year.

NHS Digital’s report has prevalence information on 21 of the 25 conditions included in QOF.

Links:
NHS Digital announcement        
NHS Digital ‘Quality and Outcomes Framework (QOF) - 2016-17’
NHS Digital ‘Quality and Outcomes Framework – Prevalence, Achievements and Exceptions Report England, 2016-17’                  

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