Changes to QOF 2016/17

GP taking blood pressure

On the 18 February 2016, NHS Employers and the British Medical Association’s General Practitioners Committee (GPC) agreed a number of changes to Quality and Outcomes Framework (QOF) effective from 1 April 2016. These changes apply in England only.

Key changes

  • An adjustment to the value of a QOF point taking account of population growth and relative changes in practice list size from 1 January 2015 to 1 January 2016. The national average list size as of 1 January 2016 is 7460 and the value of a QOF point for 2016/17 will be £165.18.
  • No changes to thresholds for 2016/17, with planned changes being deferred for one year to 1 April 2017.
  • No changes to QOF indicators.

Although no indicators have been retired for this year, it is expected that practices will continue to undertake work and code activity as clinically appropriate in relation to those indicators no longer in QOF. Practices are encouraged to facilitate data collection on these indicators. Periodically, NHS England will collect anonymised data from practices’ clinical systems which will provide statistical information, be processed for audit and publication and will help inform commissioners and practices. It is not intended for performance management purposes.

Other changes to QOF

Indicator timeframes in Business Rules

Following on from system supplier issues with some indicator timeframes, it has been agreed to convert timeframes in the Business Rules from months to days. This relates to indicators were an activity is due within a specified timeframe eg if a diagnosis is made in the middle of December and the time period is six months for the action, then it is difficult for system suppliers to calculate this exactly using ‘months’ as the time period. Issues such as months having varying days, leap years etc have made the technical specification complex and could lead to problems with certification and disparity between supplier solutions. We agreed to convert this type of timeframe scenario to a number of days using 31 days per month. This change will apply to the Business Rules only, timeframes in indicator wording will remain how they are currently written. 

This will not apply to year end exclusions as they are based on three months from a known fixed date of 31 March each year (recent diagnosis, recent registration etc).

Access the 2016/17 QOF guidance.

Download  A summary of QOF indicators for 2016/17.

A set of FAQs were developed to support commissioners in the delivery of the 2015/16 GMS contract and they can be found on our FAQs page. This page will be updated from July 2016 to include 2016/17 FAQs.

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

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