QOF guidance 2015-2016 (8th revision)
The General Practitioners Committee (GPC) and NHS Employers (on behalf of NHS England) have agreed changes to the Quality and Outcomes Framework (QOF) for 2015-16.
These changes are:
- An adjustment to the QOF point value for 2015-16 taking account of population growth and relative changes in practice list size from 1 January 2014 to 1 January 2015
- The threshold changes planned for 1 April 2015 have been deferred for one year to 1 April 2016
- Retire three chronic kidney disease indicators - CKD002, CKD003 and CKD004 (26 points) while retaining the existing CKD register - CKD001 (renumbered CKD005) (6 points)
- New CKD005 updated in line with the NICE recommendations to now read 'The contractor establishes and maintains a register of patients aged 18 or over with CKD Stages 3 to 5'
- Retire coronary heart disease indicator CHD006 (10 points)
- Amend the atrial fibrillation indicator AF004 (renumbered AF007), retire AF005 and replace with new indicator (AF006) in line with NICE recommendations with added points to reflect the increased work load across the new indicators.
The new wording of the atrial fibrillation indicators are:
New AF007: In those patients with atrial fibrillation with a record of a CHA2DS2-VASc score of 2 or more, the percentage of patients who are currently treated with anticoagulation drug therapy. (12 points)
New indicator AF006: The percentage of patients with atrial fibrillation in who stoke risk has been assessed using CH2AD2-ASc score risk stratification scoring system in the preceding 12 months (excluding those whose previous CH2AD2-ASc or CHADS2 score was 2 or above) (12 points)
- 24 points will be added to DEM002 (renumbered to DEM004) so that the new total is 39 points. The indicator wording will be amended to read as follows:
New DEM004: The percentage of patients diagnosed with dementia whose care plan has been reviewed in a face-to-face review in the preceding 12 months.
- There will be changes of wording in respect of DEM003 (renumbered to DEM005):
New DEM005: The percentage of patients with a new diagnosis of dementia recorded in the preceding 1 April to 31 March with a record of FBC, calcium, glucose, renal and liver function, thyroid function tests, serum vitamin B12 and folate levels recorded between 12 months before or 6 months after entering on to the register.
- There are also changes in the wording of OB001 (renumbered OB002) in line with the NICE recommendations:
New OB002: The contractor establishes and maintains a register of patients aged 18 or over with a BMI ≥30 in the preceding 12 months.
Download a full summary of the 2015-2016 QOF changes
NICE menu of recommended changes to the QOF
On 3 August 2015 the National Institute of Health and Care Excellence (NICE) published the 2016-2017 menu of QOF recommendations.
Get full details of the NICE recommendations
Supporting information and related pages
Get further details about QOF including details of the business rules process from NHS Employers
Get the annual QOF results and business rules from the NHS Information Centre for Health and Social Care
Previous revisions of QOF guidance