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Quality and Outcomes Framework (QOF) - 2015-16

Publication date: 09:30 October 27, 2016

Summary

12 January 2017: The qof-1516-ind-ref file has been corrected and is shown below as 'v2'; in the first version of the file, the definition for indicator OB002 was incorrectly labelled as OB001.

This Quality and Outcomes Framework (QOF) publication provides data for the reporting year 1 April 2015 to 31 March 2016.

The QOF was introduced as part of the new General Medical Services (GMS) contract on 1 April 2004. The objective of the QOF is to improve the quality of care patients are given by rewarding practices for the quality of care they provide to their patients.

The Calculating Quality Reporting Service (CQRS), together with the General Practice Extraction Service (GPES) were used for the extraction of QOF data.

There have been changes to QOF coding and indicators. These are referred to throughout this publication. Consideration must be given to changes to indicators and their definitions each year when interpreting differences and comparing data from one year to the next.

25 November 2016: Previously, some titles for data relating to Obesity were incorrectly labelled as applying to patients aged 16 and over in 2015-16, when they apply to those aged 18 and over. This has been corrected in tables 4.2 and 5.3.1 in the Report for England and Annex 1. Labels have also been corrected in the Lifestyles (LS) tabs in the Prevalence all groups at all levels workbook, where labels for data relating to Obesity were incorrectly labelled as applying to patients aged 18 and over in 2014-15, when they applied to patients age 16 and over.

The Prevalence, Achievements and Exceptions workbooks have been updated; in the previous version of these files, counts of practices covered by higher aggregations, and achievement rates for those indicators that are comprised of a register only, were omitted. These have now been included and are highlighted in orange. All updated files are labelled as 'V2'.


Key Facts

QOF recorded prevalence

Recorded prevalence for 2015-16 is presented for 7,619 general practices in England.

 

The highest prevalence rates are for Hypertension (13.8 per cent), Obesity (9.5 per cent) and Depression (8.3 per cent).

 

Hypertension (7.9 million), Obesity (4.3 million) and Depression (3.8 million) are the conditions reporting the highest register numbers.

 

The largest year on year differences in register numbers are in Depression (increase of 470,168) and Obesity (increase of 132,222).

 

QOF achievement

Achievement data for 2015-16 shows that:

 

The average achievement score for practices was 532.9 points out of 559

 

The highest levels of achievement were for Obesity and Chronic Kidney Disease where 99.9 per cent was achieved. The lowest level of achievement was in Osteoporosis at 87.5 per cent.

 

640 practices achieved the maximum of 559 points. In 2014-15 there were 448 practices which achieved the maximum of 559 points.

 

QOF exceptions

Exceptions data for 2015-16 show that:

 

The condition with the highest percentage of exceptions is Cardiovascular Disease at 31.3 per cent overall

 

The measure with the lowest percentage of exceptions is Blood Pressure at 0.5 per cent overall.


Coverage

Date Range: 01 April 2015 to 31 March 2016
Geographical coverage: England
Geographical granularity: Country, GP practices, dental practices, pharmacies and clinics, Regions, Clinical Commissioning Groups

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