QOF Plus Year 1 - Imperial College London

Appendix 6Summary of the QOF+ schemeThrough QOF+, practices will be rewarded with QOF+ points for achievement of higher thresholdsfor a selected number of existing national QOF indicators for which Hammersmith and Fulham iscurrently underperforming:Asthma 6, BP 5, CHD 6, CHD 8, CHD 10, CS 1, DM 12, DM 17, DM 20, MH 6, Stroke 6, Stroke 8.Additionally, practices will be rewarded for achievement of new QOF+ indicators which havebeen developed in clinical and non-clinical domains covering the following areas: CardiovascularDisease (CVD) Primary Prevention, Alcohol, Smoking Cessation (Adults), Smoking Cessation(Pregnant women), Breastfeeding, Ethnicity, Records, New Patient Screening (New entrantscreening for TB), Patient Information, Patient Experience and Patient Safety. The clinical areasselected were identified as priorities on the basis of being included in both the NHSHammersmith and Fulham Annual Public Health Report (Zeuner, 2008) and in the KeyPerformance Indicators from the Healthcare Commission (Healthcare Commission, 2008).Indicators are likely to change for subsequent years of QOF+ in line with latest best evidence andpotential changes to national QOF indicators.QOF+ has adopted the same approach to payment as the national QOF scheme, using the samevalue for a QOF+ point (1 point = £124.60), the same approach to exception reporting and thesame mechanism for adjustment according to Contractor Population Index and AdjustedPrevalence Disease Factors (for clinical indicators if appropriate).A QOF+ Training and Support package has been developed to support implementation of QOF+.This includes the production of a Resource Pack for practices relating to the new QOF+ indicators,and the creation of an email support service, ‘Ask the Specialist’. Attainment statistics will becalculated centrally on a monthly basis. These will be used to assist practices in self-monitoring ofprogress and to trigger intervention by the QOF+ support and development team if attainment ismore than a month behind the agreed trajectory towards aspiration targets.A programme of multimodal evaluation, currently under development, aims to assist monitoringof the scheme and to support the PCT in its efforts to better understand health inequalities withinHammersmith and Fulham. It is hoped that this evaluation will assist in the identification anddesign of future indicator areas.A6.2 ReferencesZeuner D (2008) Annual Report of the Director of Public Health 2007-2008. Hammersmith and FulhamPCT142