QOF Plus Year 1 - Imperial College London

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Hodgson R, Alwyn T, John B, Thom B, Smith A (2002) The FAST Alcohol Screening Test. Alcohol andAlcoholism 37:61–6Hutchings D, Cassidy P, Dallolio E, Pearson P, Heather N, Kaner E (2006) Primary Health Care Research& Development 7:221-229 Cambridge University PressKaner E, Haighton C, McAvoy B, Heather N, Gilvarry E (1999a) A RCT of three training and supportstrategies to encourage implementation of screening and brief alcohol intervention by generalpractitioners. British Journal of General Practice 49:699–703Kaner E, Heather N, McAvoy B, Lock C, Gilvarry E (1999b) Intervention for excessive alcoholconsumption in primary health care: Attitudes and practices of English general practitioners. Alcoholand Alcoholism 34:559–566Kaner EF, Beyer F, Dickinson HO et al. (2007) Effectiveness of brief alcohol interventions in primarycare populations. Cochrane Database of Systematic Reviews 2:CD004148Leon D, McCambridge J (2006) Liver cirrhosis mortality rates in Britain from 1950 to 2002: an analysisof routine data. Lancet 367:52-6Mulvihill et al. (2005) Prevention and Reduction of Alcohol Misuse: Evidence Briefing 2 nd Ed HealthDevelopment AgencyMoyer A, Finney J, Swearingen E, Vergun P (2002) Brief interventions for alcohol problems: a metaanalyticreview of controlled investigations in treatment-seeking and non-treatment-seekingpopulations. Addiction 97:279-92Prime Minister’s Strategy Unit (2004), Alcohol Harm Reduction Strategy for England, Cabinet Office,LondonNorth West Public Health Observatory (2007) Indicators of Public Health in the English Regions 8.Alcohol. Centre for Public Health, Liverpool John Moores UniversityPrime Minister’s Strategy Unit (2203). Interim analytical report. Strategy unit, alcohol harm reductionproject. London: Cabinet OfficeRaistrick D, Heather N, Godfrey C (2006) Review of the effectiveness of treatment for alcoholproblems. National Treatment Agency for Substance Misuse.Richmond R, Kehoe L, Heather N, Wodak A, Webster I (1996) General practitioners’ promotion ofhealthy life styles: What patients think. Australian and New Zealand Journal of Public Health 20:195–200.Royal College of Physicians (2001). Alcohol—can the NHS afford it? Recommendations for a coherentalcohol strategy for hospitals. London: Royal College of PhysiciansSaunders JB, Aasland OG, Babor TF, De La Fuente JR, Grant M (1993) Development of the Alcohol UseDisorders Identification Test (AUDIT): WHO collaborative project on early detection of persons withharmful alcohol consumption – II. Addiction 88:791–804Scottish Intercollegiate Guidelines Network (SIGN).(2003). Guideline on the Management of HarmfulDrinking and Alcohol Dependence in Primary Care – a National Clinical Guideline (74). Edinburgh:SIGN.Seppä K, Lepistö J, Sillanaukee P (1998) Five-shot questionnaire on heavy drinking. Alcoholism: Clinicaland Experimental Research 22:1788-1791Wallace P, Cutler S, Haines A (1988) Randomised control trial of general practitioner intervention withexcessive alcohol consumption. British Medical Journal 297:663-68Wallace PG, Haines AP (1984) General practitioner and health promotion: What patients think. BritishMedical Journal 289:534–6Williams RH, Vinson DC (2001) Validation of a single question screen for problem drinking. Journal ofFamily Practice 50:307–312Zeuner D (2008) Annual Report of the Director of Public Health 2007-2008. Hammersmith and FulhamPCT32
QOF+ report on smokingProposed indicatorsIndicatorQOF+pointsPaymentstages+ SMOKING 1. The percentage of patients aged 15 years orolder whose notes record smoking status in the past 17months, or whose most recent recorded smoking status,recorded over the age of 25, indicates that they had neversmoked+ SMOKING 2. The percentage of patients aged 15 years orolder who smoke whose notes contain a record that smokingcessation advice or referral to a local smoking cessationservice has been offered within the previous 17 months20 40-90%10 40-90%These indicators have been adapted from those in the existing QOF and from NHS Hammersmithand Fulham’s Local Enhanced Service for CVD Primary Prevention.BackgroundThe aims of incorporating additional indicators for smoking cessation within QOF+ include:reducing smoking prevalence in practice-registered populations, andoffering those wishing to stop smoking appropriate help either through practice-basedsupport or referrals to specialist services outside the practice.The proposed indicators are additional to the NHS Hammersmith and Fulham Local EnhancedService (LES) for Smoking Cessation and existing QOF indicators. This LES aims to increase thenumber of patients who receive multi-session stop smoking support through practice-basedadvisors and/or referral to specialist services outside the practice.33
Page 1: Towards world class healthcare for
Page 6 and 7: QOF+ report on breastfeeding ......
Page 8 and 9: QOF+ report on patient safety .....
Page 10 and 11: CreditsProject boardJosip CarMiles
Page 12: AcknowledgementsWe are indebted to
Page 15 and 16: Executive summaryIntroductionPrevio
Page 18: Support with QOF+If you have a prob
Page 22 and 23: The quality and outcomes framework
Page 24 and 25: Effect of measurement on health ine
Page 26 and 27: How might a local QOF operate in pr
Page 28 and 29: Doran T, Fullwood C, Kontopantelis
Page 30 and 31: Continued…QOFQOF+IndicatorUpperTh
Page 32 and 33: Alcohol Chapter 4 (p27)IndicatorQOF
Page 34 and 35: RecordsIndicator+ PRESCRIPTION 1. T
Page 36 and 37: Patient experience Chapter 12 (p77)
Page 39 and 40: C3QOF+ report on cardiovasculardise
Page 41 and 42: Creation of practice CVD at-risk re
Page 43 and 44: achieved through primary prevention
Page 45 and 46: Workload and training implicationsI
Page 47 and 48: QOF+ report on alcoholProposed indi
Page 49 and 50: Local contextThe Hammersmith and Fu
Page 51: Workload and training implicationsR
Page 55 and 56: Local context24% of adults (35,000)
Page 57: ReferencesBritish Medical Associati
Page 60 and 61: The NICE Clinical Guideline on Ante
Page 62 and 63: 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
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BackgroundThe United Nations Conven
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In March 2008, a PCT audit of signi
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Impact on health inequalitiesPovert
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Training and support requirements f
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Information on self-directed online
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New patient screeningProposed train
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Patient experienceLearning disabili
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Appendix 1Background to the QOF+ de
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Appendix 2Methodology for the exten
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PrevalenceRegistersizeAsthma 5.75%
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While both threshold types are remu
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The low level of remuneration for c
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Exception reportingMany QOF (and a
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indicators compared to national rat
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114
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Appendix 3Current levels of attainm
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Percentage of practices at or below
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Appendix 4Methodology for the desig
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As a result of the prioritisation p
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Methodology for the development of
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Assessment of new clinical and reco
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Communication with the PCT’s heal
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Appendix 5Methodology for the devel
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Appendix 6Summary of the QOF+ schem
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QOF Plus Year 1 - Imperial College London

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