QOF Plus Year 1 - Imperial College London

Results of data analysis of practice achievement for selected existingQOF indicatorsAnalysis of data on QOF achievement by individual practices suggested possible generaltraining/support needs (for most practices) in the areas of Mental Health and Cervical Screening.The data also highlighted a small number of underperforming practices which may need moreglobal (rather than specific) support. This support may need to be more administrative andmanagerial than clinical.Results of practice training and support needs assessmentAnalysis of data from a training and support needs assessment of local primary care practitioners(GPs, practice nurses and practice managers) showed that the majority of practices would valueincreased administrative support, including additional training for administrative staff. A numberof practices felt that additional clinical training and support for practice nurses would bebeneficial.Practices described a range of methods for delivery of training that they would find useful,including online modules, educational meetings and individual practice trainer visits. It isenvisaged that the QOF+ training and support package will incorporate all these mechanisms toencompass a wide range of learning styles and preferences.A number of practices highlighted the importance of tailoring training to individual practiceneeds. To this end, those practices signing up to QOF+ will receive an additional training bursarywhich will allow them to determine how best their training needs may be met.One practice felt that it would be useful if the PCT hosted regular QOF+ meetings for practices tofacilitate sharing of ideas between practices. This idea will be developed further by the PCT.A5.4 ReferencesOxman AD TMDDHRB (1995). No magic bullets: a systematic review of 102 trials of interventions toimprove professional practice. Canadian Medical Association Journal 153:1423-31141