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Contract update

QOF and DES

quiz

Our quiz is designed to test your current knowledge of the changes to QOF and enhanced services. It may identify areas that you need to explore and take action on. Responses are either true or false, but one or two are speculative!

1 The major changes to QOF for 2006/7 include:

A Maximum points achievable will be 1,000 True/false

B Value for each point will increase True/false

C 138 points have been redistributed

to new work True/false

D Four of the new areas account for 110

of the new work points True/false

E Prevalence calculations will change True/false

2 The following changes will occur to the 2004/6 (old) clinical domains:

A The points value for disease registers will

fall on average True/false

B There will be no points for flu vaccinations in

asthma True/false

C HbA1c target in diabetic patients is now

7.0 per cent True/false

D 52 points are now available for

summarising records True/false

E All COPD patients should now have had

confirmatory spirometry True/false

3 The following new areas are now

covered by QOF:

A Dementia True/false

B Parkinson's disease True/false

C Chronic kidney disease True/false

D Learning disability True/false

E Eating disorders True/false

4 The following are details of the new

disease areas:

A Obesity register will cover BMI from

35kg/m2 upwards True/false

B Chronic kidney disease register will be for

patients aged 18 or more at stage 3-5 CKD

(US national kidney foundation staging) True/false

C Points for atrial fibrillation confirmed by

ECG or specialist apply to diagnoses

from 1 April 05 True/false

D Patients with a new diagnosis of depression

must have a formal severity assessment True/false

E A dementia review must be face to face True/false

5 The major changes to enhanced services for 2006/7 include the following:

A Some new money is being paid for the

patient access DES True/false

B New money is being paid for all the new

DES areas except access True/false

C Practice-based commissioning (PBC) will

be a new DES True/false

D Enhanced service funding floor for 2005/6

services is frozen True/false

E Information management and technology

(IM&T)DES is available for 2006/7 True/false

6 The following refer to the new patient

access DES:

A A maximum £2.06 per patient will be

available for 2006/7 True/false

B One-quarter will be paid as an aspiration

payment True/false

C A half of the aspiration payment will

depend on commitment to monthly

PCT access survey True/false

D Two-thirds of the total payment will

depend on a patient survey True/false

E Maximum survey payments set at

80-90 per cent patient satisfaction True/false

7 The following refer to the new practice-based commissioning DES:

A A maximum payment of £1.90 per patient

is available True/false

B Half is payable as an 'aspiration' payment True/false

C This is a two-year enhanced service True/false

D Second payment is dependent on

reaching all agreed components True/false

E Second payment is for a minimum

95p per patient True/false

8 The following applies to Choose and Book and IM&T enhanced services:

A Maximum Choose and Book payment is

£1.50 per patient True/false

B A quarter of Choose and Book payment is dependent

on a 60 per cent score in patient

satisfaction survey True/false

C Choose and Book aspiration payment dependent

on agreement to use system for at least

25 per cent OPD referrals in June 2006 True/false

D A maximum £1.33 per patient is payable for

IM&T DES True/false

E IM&T DES has four components True/false

9 The following applies to organisation for QOF 2006/7:

A Approved Read codes have already

been published True/false

B Templates for pre-existing clinical domains

can remain unchanged True/false

C Clinics will be needed for all new

clinical domains True/false

D Responsibility for some 'old' domains can

be devolved down the practice team True/false

E New domains are worth around

14 per cent of total QOF for 2006/7 True/false

10 The following applies to

organisation for new enhanced

services 2006/7:

A A majority of practices are likely to achieve

full access payment in 2006/7 True/false

B New money of around £7,300 per 1,700

patient list is available for 2006/7 True/false

C Joining a PBC group should reduce

average expenses True/false

D Profit ratio for new enhanced services

is likely to be low True/false

E Patient surveys dominate new

DES payments True/false

Answers

ANSWERS

Score 1 for each correct answer

1 A TRUE B FALSE C TRUE D TRUE E FALSE

2 A TRUE B TRUE C FALSE D T RUE E TRUE

3 A TRUE B FALSE C TRUE D TRUE E FALSE

4 A FALSE B TRUE C FALSE D TRUE E TRUE

5 A FALSE B TRUE C TRUE D TRUE E TRUE

6 A TRUE B FALSE C TRUE D TRUE E TRUE

7 A TRUE B TRUE C FALSE D TRUE E TRUE

8 A FALSE B TRUE C TRUE D TRUE E TRUE

9 A FALSE B FALSE C FALSE D TRUE E TRUE

10 A FALSE B TRUE C TRUE D TRUE E TRUE

Comments

Score 40-50 You have a good working knowledge of the changes for 2006/7. You have probably already started planning. Your hard work is likely to allow you to avoid a fall in NHS profit in 2006/7.

Score 20-40 Although you have some knowledge of the 2006/7 changes, this is still variable. With only a short time until the new QOF and enhanced service year starts you must put in some urgent work now. It is likely you will select the areas in which you have more chance of success and make a strategic choice to avoid those where maximum effort will produce minimum return. Your NHS profit for 2006/7 is quite likely to fall. Your planning now will decide by how much.

Score less than 20 You do not consider the changes to QOF or enhanced services a priority and are more likely to be a lower-earning GP/practice. As primary care privatisation creeps in you could be one of the first to succumb to a takeover. You can smile at the rest of us from your beach in Bermuda.

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