The changes to the quality and outcomes framework (QOF) for 2015/16 in England only were announced on 13 October 2014.
As part of the 2015/16 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 2015.
The key changes are:
- An adjustment to the value of a QOF point value for 2015/16 taking account of population growth and relative changes in practice list size from 1 January 2014 to 1 January 2015. The national average list size as of 1 January 2015 is 7,233 and the value of a QOF point for 2015/16 will be £160.15.
- The threshold changes planned for 1 April 2015 have been deferred for one year to 1 April 2016.
- The retirement of AF005 (6 points).
- The introduction of NICE indicator NM81. The new indicator will be AF006 with a point value of 12 points and thresholds at 40-90%.
- The replacement of AF004 (6 points) with NICE indicator NM82. The new indicator will be AF007 with a point value of 12 points and thresholds at 40-70%.
- The two new indicators have been set at 12 points each to reflect the workload involved in the delivery of these indicators.
Coronary heart disease (CHD)
- The retirement of CHD006 (10 points).
- The amendment of DEM002 to include a care plan with an increase to the number of points from 15 to 39 points to recognise an increase in the number of patients with dementia. The new indicator will be DEM004, the thresholds will remain at 35-70%.
- A change to the timeframe for DEM003. The new indicator will be DEM005, the points will remain at 6 points and the thresholds will remain at 45-80%.
Chronic kidney disease (CKD)
- The amendment of CKD001 (the register) to reflect the change in the classification in line with the updated NICE clinical guideline.
- The retirement of CKD002 (11 points), CKD003 (9 points) and CKD004 (6 points) (total 26 points).
- The replacement of OB001 (the register) with NICE indicator NM85. The points will remain at 8 points.
The overall number of points in QOF remains at 559 points. The above changes are resourced through the redistribution of points.
This agreement includes a commitment that practices continue to undertake the work for those indicators no longer in QOF as clinically appropriate and in accordance with best medical practice.
The 2015/16 QOF guidance is available to download.
A summary of the changes to QOF for 2015/16 is available to download.
A set of FAQs has been developed to support commissioners in delivery of the 14/15 GMS contract, they can be found on our QOF FAQs web page.
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.