What is QoF?
The Quality and Outcomes Framework (QOF) is a voluntary annual reward and incentive programme for all GP surgeries in England, detailing practice achievement results. It is not about performance management but resourcing and rewarding good practice.
The QOF gives an indication of the overall achievement of a practice through a points system. Practices aim to deliver high quality care across a range of areas for which they score points. The final payment is adjusted to take account of surgery workload, local demographics and the prevalence of chronic conditions in the practice’s local area.
QoF summary
| Keep a register of patients |
| Diagnosed after 1st April 2006 need PEFR or Spirometry |
| Aged 14 – 19 and smoking status recorded |
| Annual review and patients must answer if night symptoms, day symptoms and exercise related problems |
| Keep a register of patients |
| Patient needs CHA2DS2-VASc in the last 12 months |
| Patients with CHA2DS2-VASc > 2 need anticoagulant |
Establishes and maintains a register of all cancer patients defined as a ‘register of patients with a diagnosis of cancer excluding non–melanotic skin cancers diagnosed on or after 1 April 2003
The percentage of patients with cancer, diagnosed within the preceding 24 months, who have a patient Cancer Care Review using a
structured template recorded as occurring within 12 months of the date of diagnosis
The percentage of patients with cancer, diagnosed within the preceding 12 months, who have had the opportunity for a discussion and been informed of the support available from primary care, within 3 months of diagnosis
Keep a register of patients (over the age of 18 with CKD 3-5)
| Keep a register of patients |
| Spirometry with reversibility between 3 months before diagnosis and 1 year after diagnosis |
| FEV1 recorded |
| COPD annual review |
| MRC dyspnoea score |
| Exacerbating history |
| Lung function |
| Inhaler technique check |
| MRC score > 3 need O2 saturation recording |
| Influenza vaccination between 1st August – 31st March |
| Keep a register of patients |
| BP reading < 150/90 |
| Influenza vaccination between 1st August – 31st March |
| Patient needs to be taking either Aspirin / Clopidogrel or anticoagulant |
| Register of patients |
| Face to face review of care plan |
| New patients have FBC UE, LFT, TFT, Gluc, B12, Folate, Calcium 12 month before or 6 months after diagnosis |
|
Patients aged 18 or over with a new diagnosis have a review by a GP within 10 and 56 days of diagnosis |
| Keep a register of patients (over the age of 17) |
| Last IFCC < 59 |
| Last IFCC <64 |
| Last IFCC <75 |
| Foot examination and risk classification |
| Last BP < 150/90 |
| Last BP <140/80 |
| ACEi or ARB if microalbuminuria or proteinuria |
| Last cholesterol < 5 |
| Influenza vaccination between 1st August – 31st March |
| Referred to structured education programme within 9 months of entering register |
Register of patients
| Register of patients |
|
BP reading < 150/90 |
| Register of patients |
| Needs ECHO confirmed diagnosis or coronary angio |
| ACEi or ARB |
| B Blocker (Must be bisoprolol, carvedilol or nebivolol) |
Register of patients
| Register of patients with |
| Schizophrenia, psychoses, bipolar disorder or prescribed lithium |
| Needs personal health plan |
| Alcohol consumption |
| BP check |
| Smear (if eligible female) |
| Lithium check in therapeutic range |
|
Creatinine and TSH check if on lithium Lipid profile Blood glucose or HBA1C |
Register of patients aged over 18 with BMI > 30
| Keep a register of patients – |
| Age 50-74 with fragility fracture and DEXA confirmed osteoporosis |
| Age >75 with fragility fracture |
| Patients in 1) receiving treatment |
| Patients in 2) receiving treatment |
Keep a register of patients
Review patients on the palliative care register at least every 3 months
Keep a register of patients
Patient needs to be taking either Aspirin / Clopidogrel or OTC aspirin BP reading < 150/90
| Aged > 45 with BP recorded in the last 5 years |
| Aged 30-75 with CVD risk >20% on statin |
Keep a register of patients (over the age of 16)
Annual face to face review
Register of women prescribed contraception
Patients given emergency contraception are given information on LARC within 1 month of the prescription
Smoking status for anyone with CHD / DM / CVA / BP / COPD / Asthma / Psychosis / PVD / CKD
Offer support and treatment
Smoking cessation advice
Support with literature and appropriate therapy
Keep a register of patients
Diagnosed after 1st April 2014 and referral for investigations between 3/12 before and 1/12 after episode
BP reading < 150/90
TIA or non bleed CVA on antiplatelet or anticoagulant
Influenza vaccination between 1st August – 31st March
The percentage of babies who reached 8 months old in the preceding 12 months, who have received at least 3 doses of a diphtheria, tetanus and pertussis containing vaccine before the age of 8 months
The percentage of children who reached 18 months old in the preceding 12 months, who have received at least 1 dose of MMR between the ages of 12 and 18 months
The percentage of children who reached 5 years old in the preceding 12 months, who have received a reinforcing dose of DTaP/IPV and at least 2 doses of MMR between the ages of 1 and 5 years
The percentage of patients who reached 80 years old in the preceding 12 months, who have received a shingles vaccine between the ages of 70 and 79 years