Quality and Outcomes Framework guidance for GMS contract 2011/12

SAVE ITEM
publication

04 / 04 / 2011

The Quality and Outcomes Framework (QOF) rewards practices for the provision of 'quality care' and helps to standardise improvements in the delivery of clinical care. Practice participation in QOF is voluntary but most practices on General Medical Services (GMS) contracts, as well as many on Personal Medical Services (PMS) contracts, take part in QOF. It was introduced as part of the new GMS contract in 2004.

This document outlines changes in relation to QOF payments under the GMS contract for 2011/12 and replaces all guidance issued in previous years. The content of this document reflects the provisions of Annex D of the Statement of Financial Entitlements Directions and forms part of the General Medical Services (GMS) Contract for 2011/12.

From May 2006, evidence was provided by an ‘Expert Panel’, coordinated by a consortium of academic bodies, including the Universities of Birmingham and Manchester which informed negotiations between NHS Employers (on behalf of the four UK health departments) and the General Practitioners Committee (GPC) of the BMA on what changes should be made to the QOF each year.

The National Institute for Health and Clinical Excellence (NICE) became responsible for managing an independent and transparent approach to developing the QOF clinical and health improvement indicators from April 2009. As part of this process, NICE prioritises areas for new indicator development, develop and select indicators for inclusion on the NICE menu of indicators, make recommendations for the retirement of indicators and consult with individuals and stakeholder groups. The recommendations made by NICE are based on current clinical evidence and cost-effectiveness.

The NICE menu of indicators is published in July/August each year and the recommendations are used to inform national contract negotiations between NHS Employers and the GPC on changes to the QOF.

NHS Employers and the GPC use this menu and the associated guidance to agree which indicators should be implemented across the UK and what point value and threshold ranges should apply. The QOF guidance continues to be jointly produced and published by NHS Employers and the GPC and reflects the outcome of these negotiations.

This document outlines changes in relation to QOF payments under the GMS contract for 2011/12 and replaces all guidance issued in previous years. The content of this document reflects the provisions of Annex D of the Statement of Financial Entitlements Directions and forms part of the General Medical Services (GMS) Contract for 2011/12.

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