QOF Plus Year 1 - Imperial College London
QOF Plus Year 1 - Imperial College London QOF Plus Year 1 - Imperial College London
Some refer to a practice website; many do not. The majority of local leaflets currently carry littleor no information on:Preventative services such as stop smoking, immunization, screeningChoice / Choose & BookThe PCT’s Patient Advice & Liaison Service and complaints teamCopying letters to patientsWalk-in and urgent care centresThe PCT’s Performance Monitoring Group found that the three most comprehensive localpractice leaflets were all produced by Neighbourhood Direct Ltd (ND). They produce them forpractices all over the country. They are a commercial organisation, but there is no cost to thepractices. The booklets are financed by local advertising. Often, advertisers are private providersof health services. Some are complementary health providers.Practices will need to update their practice leaflets and inform all patients of new opening timesrelating to extended hours, and this would therefore be an opportunistic time to promoteimproved quality of practice information leaflets.Review of evidence to support the proposed indicatorsThere is evidence that effective self-management can reduce hospitalisation and accident andemergency attendances (Gibson et al., 2004). The research evidence on the effectiveness of selfcare support provides an evidence base on the effectiveness of self care support, such asinformation, self care support devices, self care skills training and self care support networks inthe care of people with long term health conditions, short term ailments and among those takinginitiatives to stay healthy (DoH, 2007). The evidence base includes systematic reviews, primaryresearch studies, and surveys covering the different types of self care support interventions for arange of health problems.Tower Hamlets PCT has funded the introduction of template based leaflets for their GP surgeries.The Performance Monitoring Group has recommended that The PCT adopts a similar approach toTower Hamlets in order to significantly improve the quality of some local surgery leaflets andensure consistency across local surgeries, while removing the need for commercial advertising.Degree of perceived professional consensusThere is support for the provision of high quality patient information from professionalassociations including the RCGP and the BMA and from national guidance produced by NICE andthe Scottish Intercollegiate Guidelines Network (SIGN).The proposal relating to use of a PCT practice leaflet template has the support of the PEC Chairand the Director of Public Health. It is proposed that one of the PCT’s Public Health Consultantsand number of local GPs will be involved in developing the core content for the leaflet.72
Degree of perceived support from patients and carersA MORI baseline survey was commissioned by the Department of Health to explore publicattitudes towards self care and their self care behaviours (DoH, 2008). This survey describessupport from patients and carers for the principles of self care, including self management of longterm conditions and provision of information for patients.Strategies promoting self-care and self-management are strongly supported by a wide range ofpatient organisations including the British Lung Foundation, Asthma UK, Diabetes UK and ArthritisCare.During local public engagement events held in 2007 and 2008, a consistent theme has been thatproviding good information on local services is an issue local people feel is important – and needsimproving.Impact on health inequalitiesPatients with low health literacy have poorer health status, higher rates of hospital admission, areless likely to adhere to prescribed treatments and self care plans, experience more drug andtreatment errors, and make less use of preventive services. Achieving greater health literacy inthe population is integral to improving the health of disadvantaged populations and to tacklinghealth inequalities (Coulter et al., 2006).Health impactOverall the evidence suggests that self care support including provision of information forpatients can result in beneficial health outcomes for people and more appropriate use of healthand social care services (DoH, 2007). Coulter et al. (2006) further states that “health literacy isfundamental to patient engagement. If people cannot obtain, process, and understand basichealth information, they will not be able to look after themselves well or make good decisions onhealth.”73
- 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 and 52: Workload and training implicationsR
- Page 53 and 54: QOF+ report on smokingProposed indi
- 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: Priority and relevance to national
- 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 114 and 115: Information on self-directed online
- 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
- Page 134 and 135: 114
- Page 136 and 137: Appendix 3Current levels of attainm
- Page 138 and 139: Percentage of practices at or below
- Page 140 and 141: Percentage of practices at or below
Some refer to a practice website; many do not. The majority of local leaflets currently carry littleor no information on:Preventative services such as stop smoking, immunization, screeningChoice / Choose & BookThe PCT’s Patient Advice & Liaison Service and complaints teamCopying letters to patientsWalk-in and urgent care centresThe PCT’s Performance Monitoring Group found that the three most comprehensive localpractice leaflets were all produced by Neighbourhood Direct Ltd (ND). They produce them forpractices all over the country. They are a commercial organisation, but there is no cost to thepractices. The booklets are financed by local advertising. Often, advertisers are private providersof health services. Some are complementary health providers.Practices will need to update their practice leaflets and inform all patients of new opening timesrelating to extended hours, and this would therefore be an opportunistic time to promoteimproved quality of practice information leaflets.Review of evidence to support the proposed indicatorsThere is evidence that effective self-management can reduce hospitalisation and accident andemergency attendances (Gibson et al., 2004). The research evidence on the effectiveness of selfcare support provides an evidence base on the effectiveness of self care support, such asinformation, self care support devices, self care skills training and self care support networks inthe care of people with long term health conditions, short term ailments and among those takinginitiatives to stay healthy (DoH, 2007). The evidence base includes systematic reviews, primaryresearch studies, and surveys covering the different types of self care support interventions for arange of health problems.Tower Hamlets PCT has funded the introduction of template based leaflets for their GP surgeries.The Performance Monitoring Group has recommended that The PCT adopts a similar approach toTower Hamlets in order to significantly improve the quality of some local surgery leaflets andensure consistency across local surgeries, while removing the need for commercial advertising.Degree of perceived professional consensusThere is support for the provision of high quality patient information from professionalassociations including the RCGP and the BMA and from national guidance produced by NICE andthe Scottish Intercollegiate Guidelines Network (SIGN).The proposal relating to use of a PCT practice leaflet template has the support of the PEC Chairand the Director of Public Health. It is proposed that one of the PCT’s Public Health Consultantsand number of local GPs will be involved in developing the core content for the leaflet.72
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