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Prevalence data for 20 common conditions published today
Figures showing the recorded prevalence of 20 conditions including asthma, hypertension, dementia, diabetes, and depression have been published today by NHS Digital.

Prevalence data for 20 common conditions published today

Figures showing the recorded prevalence of 20 conditions1 including asthma, hypertension, dementia, diabetes, and depression have been published today by NHS Digital.

The annual publication, Quality and Outcomes Framework (QOF) – Prevalence, Achievements and Personalised Care Adjustments Report, England 2020-21, also identifies how the recorded prevalence of these conditions has changed since the previous year.

The prevalence data is collected from GPs in England and can be broken down to regional and general practice level.

This dataset is made up of information voluntarily provided by 96.7 per cent of general practices in England. It is collected through the QOF, which is primarily used to improve care for patients by rewarding practices for the quality of care they provide2.

Conditions are grouped into categories. These are:

  • Cardiovascular3
  • Respiratory4
  • Lifestyle5
  • High dependency and other long term conditions6
  • Mental health and neurology7
  • Musculoskeletal8
  • Fertility, obstetrics and gynaecology9
  • Quality improvement10
  • Non-diabetic hyperglycaemia11

Prevalence of some conditions is measured as a proportion of the total number of people registered at a surgery, whereas others are age-specific.

QOF also provides information on the activity of GPs in relation to 26 indicator groups overall – this is expressed as achievement.

Achievement scores are used to calculate what payment a general practice should receive according to the services it delivered.

Due to the COVID-19 pandemic, income protection was applied to the majority of QOF indicators in 2020-21, therefore should be viewed with caution when comparing against previous years.

ENDS

Read the full report

Quality and Outcomes Framework (QOF) – Prevalence, Achievements and Personalised Care Adjustments Report, England, 2020-2021
 

Notes for editors

  1. There are 68 indicators in total, spread across 26 condition groups; the report has information on the prevalence of 20 of these conditions. These 26 conditions and measures have been selected for the following reasons: where responsibility for ongoing management of the condition rests principally with the GP and the primary care team; where there is good evidence of the health benefits likely to result from improved primary care; and where the area is a priority.

  2. QOF payments to general practices are calculated from the achievement scores allocated to each indicator. The QOF rewards practices for the provision of 'quality care' and helps to fund further improvements in the delivery of clinical care. This year, the value of a QOF point was £194.83. This figure is subject to adjustment to account for factors specific to each surgery e.g. population demographics.  Due to the impact of the COVID-19 pandemic on activity in general practice, QOF implementation was changed for the 2020-21 reporting year; the majority of QOF indicators were income protected (i.e. payments were made to practices irrespective of activity recorded for indicators in 2020-21). Further information on the income protection measures applied to QOF can be found on the NHS England and Improvement websiteThese changes mean that the achievement and personalised care adjustment (PCA) data extracted for the 2020-21 reporting year could be misleading and not representative of activity undertaken, and any comparisons with data from previous years are not recommended.

  3. The cardiovascular group contains information on:

    • Atrial fibrillation
    • Blood pressure
    • Coronary heart disease
    • Heart failure
    • Hypertension
    • Peripheral arterial disease
    • Stroke and transient ischaemic attack

    The respiratory group contains information on:

    • Asthma
    • Chronic obstructive pulmonary disease
    • The lifestyle group contains information on:
    • Obesity
    • Smoking

    The high dependency and other long term conditions group contains information on:

    • Cancer
    • Chronic kidney disease
    • Diabetes mellitus
    • Palliative care

    The mental health and neurology group contains information on:

    • Dementia
    • Depression
    • Epilepsy
    • Learning disabilities
    • Mental health

    The musculoskeletal group contains information on:

    • Osteoporosis
    • Rheumatoid arthritis

    The fertility, obstetrics and gynaecology group contains information on:

    • Cervical screening

    The quality improvement groups contain information on:

    • Early cancer diagnosis
    • Care of people with learning disabilities

    The non-diabetic hyperglycaemia group contains information on:

    • Non-diabetic hyperglycaemia

    NHS Digital is the national information and technology partner of the health and care system.  Our team of information analysis, technology and project management experts create, deliver and manage the crucial digital systems, services, products and standards upon which health and care professionals depend.  During the 2020-21 financial year, NHS Digital published 267 statistical reports. Our vision is to harness the power of information and technology to make health and care better.


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Last edited: 1 October 2021 12:10 pm