QOF Plus Year 1 - Imperial College London

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Information on self-directed online training resources1 As part of its e-GP project, The RCGP will shortly be making available for GPs ane·learning module on equality and diversity. GPs who are members of the RCGPcould be directed to this, if they are not already aware of its existence.http://www.rcgp-curriculum.org.uk/information__resources/elearning_project.aspx2 The ‘multiethnic teaching and learning in nursing project’ on the MarySeacole Centre for Nursing Practice website is an online educationalresource on raising awareness in relation to ethnicity, culture and health care.It addresses cultural diversity, models of transcultural care, essential aspects ofcare and the lifespan approach, including scenarios.http://www.health.tvu.ac.uk/maryseacole/melting/validated.asp3 The Health for Asylum Seekers and Refugee portal (HARPWEB) providesinformation and practical tools written by people with expert knowledge ofworking with asylum seekers and refugees, both in the UK and other countriesto enable health care practitioners to develop a culturally sensitive and informedapproach to their practice. Materials are provided on general health, mentalhealth and multilingual information.http://www.harpweb.org/index.php4 The refugee health team for Lambeth PCT have produced a resource pack tohelp primary healthcare professionals in their work with refugees and asylumseekers. This could be adapted for use in Hammersmith and Fulham.5 The NHS Core Learning Unit has produced an e-learning module on Equalityand Diversity. This course is freely available to those working in the NHS.Automatically generated certificates of completion are awarded for eachcompleted module. The courses can be accessed through the website of theNHS Core Learning Unit.http://www.corelearningunit.comIndividual practice training sessionsThis could include training relating to the above areas, tailored to the needs of individualpractice teams. The training should address how best to work with on how best to workwith diverse populations, including refugees and asylum seekers, to meet their healthneeds.94
RecordsIt is proposed that the PCT provides additional administrative support and training for practiceswith respect to administration. This process will be greatly facilitated by IT support.A data warehouse held centrally securely within the NHS net by the PCT will host all generalpractice data for reporting purposes. The following data will be extracted from general practicessystems for the data warehouse, subject to the practices’ agreement, for all patients from April01 2003 onwards:A data warehouse held centrally securely within the NHS net by the PCT will host all generalpractice data for reporting purposes. The following data will be extracted from general practicessystems for the data warehouse, subject to the practices’ agreement, for all patients from April01 2003 onwards:1 Patient detailsPractice patient IDAgeSexEthnicityLanguageCountry of birthLSOA code for the patient’s main address postcodeMosaic code for the patient’s main address postcode2 Registration details (including status and associated dates)3 Patient recordAll coded data (without any free text information)All appointment data (without any free text information)These data will enable us to analyse and monitor <strong>QOF</strong>+ achievements for all practices centrallyand feed back to practices their achievement. The process will be with time automated butinitially will involve semi-automated processes.The data will enable the <strong>QOF</strong>+ support team to centrally systematically search for each practicetheir patient records and identify patients at highest risk and in need for CVD primary prevention.Data will also enable central monitoring and pro-active approach in a number of other diseaseareas. This will represent significant support to practices.Proposed training resource(s)General practice research database recording guidelinesThis is a support document for reference and training. The guidelines are intended toprovide a more detailed explanation of the requirements. It clarifies the patientinformation that needs to be recorded and how to appropriately enter it.http://www.gprd.com/_docs/recordingguidelines.pdf95
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Towards world class healthcare for
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QOF+ report on breastfeeding ......
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QOF+ report on patient safety .....
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CreditsProject boardJosip CarMiles
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AcknowledgementsWe are indebted to
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Executive summaryIntroductionPrevio
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Support with QOF+If you have a prob
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The quality and outcomes framework
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Effect of measurement on health ine
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How might a local QOF operate in pr
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Doran T, Fullwood C, Kontopantelis
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Continued…QOFQOF+IndicatorUpperTh
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Alcohol Chapter 4 (p27)IndicatorQOF
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RecordsIndicator+ PRESCRIPTION 1. T
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Patient experience Chapter 12 (p77)
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C3QOF+ report on cardiovasculardise
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Creation of practice CVD at-risk re
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achieved through primary prevention
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Workload and training implicationsI
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QOF+ report on alcoholProposed indi
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Local contextThe Hammersmith and Fu
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Workload and training implicationsR
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QOF+ report on smokingProposed indi
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Local context24% of adults (35,000)
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ReferencesBritish Medical Associati
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The NICE Clinical Guideline on Ante
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Health impactThere are significant
Page 65 and 66: QOF+ report on breastfeedingPropose
Page 67 and 68: Local contextIn 2006/7, the percent
Page 69 and 70: Degree of perceived professional co
Page 71 and 72: QOF+ report on ethnicityProposed In
Page 73 and 74: Associated Morbidity and MortalityT
Page 75: Workload and training implicationsP
Page 78 and 79: Priority and relevance to national
Page 80 and 81: Specific reasons for this framework
Page 82 and 83: Workload and training implicationsT
Page 85 and 86: QOF+ report on newpatient screening
Page 87 and 88: Review of evidence to support the p
Page 89 and 90: QOF+ report onpatient informationPr
Page 91 and 92: Priority and relevance to national
Page 93 and 94: Degree of perceived support from pa
Page 95 and 96: ReferencesCarpenter A and Mayers A
Page 97 and 98: QOF+ report onpatient experiencePro
Page 99 and 100: Rosen et al. (2001) categorised ini
Page 101 and 102: The National 2007 Quality and Outco
Page 103: ReferencesBaker, R (2007) Quality a
Page 106 and 107: BackgroundThe United Nations Conven
Page 108 and 109: In March 2008, a PCT audit of signi
Page 110 and 111: Impact on health inequalitiesPovert
Page 112 and 113: Training and support requirements f
Page 116 and 117: New patient screeningProposed train
Page 118 and 119: Patient experienceLearning disabili
Page 120 and 121: Appendix 1Background to the QOF+ de
Page 122 and 123: Appendix 2Methodology for the exten
Page 124 and 125: PrevalenceRegistersizeAsthma 5.75%
Page 126 and 127: While both threshold types are remu
Page 128 and 129: The low level of remuneration for c
Page 130 and 131: Exception reportingMany QOF (and a
Page 132 and 133: indicators compared to national rat
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Page 136 and 137: Appendix 3Current levels of attainm
Page 138 and 139: Percentage of practices at or below
Page 150 and 151: Appendix 4Methodology for the desig
Page 152 and 153: As a result of the prioritisation p
Page 154 and 155: Methodology for the development of
Page 156 and 157: Assessment of new clinical and reco
Page 158 and 159: Communication with the PCT’s heal
Page 160 and 161: Appendix 5Methodology for the devel
Page 162 and 163: Appendix 6Summary of the QOF+ schem
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QOF Plus Year 1 - Imperial College London

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