As part of the 2014/15 GMS contract changes, NHS Employers and the General Practitioners Committee (GPC) of the BMA agreed a number of changes to QOF effective from 1 April 2014.
The key changes are:
- the retirement of 24 indicators from the clinical domain releasing 185 points (three points released from retirement of LD002 will transfer to the learning disability enhanced service funding)
- the retirement of six indicators from the public health domain releasing 33 points
- the retirement of the patient experience indictor PE001 releasing 33 points
- the retirement of nine indictors from the quality and productivity domain releasing 100 points.
Of the above retirements, the resource from 238 points will be transferred in to global sum. This funding will not be subject to the six per cent out of hours deduction (if applicable).
The resource released from the remaining 103 points will see 100 points used to fund a new enhanced service aimed at avoiding unplanned admissions and delivering proactive case management for vulnerable people and 3 points transferred to the learning disabilities enhanced service.
Other changes to QOF are:
- A change to the number of points allocated to HYP002 from 10 points to 20 points to recognise the shift in workload as a result in the retirement of HYP003 and a change to the thresholds from 44 - 84% to 45 - 80%. The timeframe for this indicator has also changed from 9 months to 12 months.
- The age range for BP001 will change from 40 years and over to 45 years and over in line with the age range for the NHS Health Check in England.
- The timeframe for the seasonal flu indicators will change from 1 September - 31 March to 1 August - 31 March to allow practices to begin vaccinating patients as soon as possible. This change applies to CHD004, COPD006, DM010 and STIA006.
- The timeframe for CAN002 will change from three months to six months (where clinically appropriate practices would still review patients within three months).
- The timeframe for DEP002 will change from 10 - 35 days to 2 - 8 weeks.
- The wording for AF003 has been updated to be more consistent with the wording for AF004.
- The wording for STIA002 has been updated to require patients to be referred for assessment after each stroke but only after the first TIA. This indicator will no longer be cumulative from 1 April 2008 and will reset annually from 1 April 2014.
As part of a negotiated agreement, it was agreed that the indicators deferred in 2013/14 (NM73 and NM73 - cardiac and pulmonary rehabilitation) would be deferred for a further year. The indicator thresholds due to rise in 2014 as part of the 2013/14 changes will also be deferred for a further year.
In line with the approach to streamline QOF for 2014/15 and prioritise the retention of key indicators, it was agreed not to introduce new indicators. As such, it was agreed that the new NICE indicators would not be implemented in 2014/15. In relation to the two replacement indicators, NM73 was agreed to replace LD001 as it was felt that this was an appropriate change.
NHS Employers are currently liaising with NHS England, NICE, the GPC and the HSCIC to update the 2014/15 QOF guidance which will be available to download in 2014.
NICE menu of recommended changes to the QOF
For full details of the recommendations made by NICE along with any relevant supporting documents, please see the NICE website
NICE review of QOF
For full details of review of QOF conducted by NICE, please see the NICE website.