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Independents' Day

QOF could be scrapped 'in its entirety' by next year

The GPC and the Government have agreed to ’explore’ a complete scrapping of QOF in England, with the current framework to remain unchanged for 2016/17.

The announcement comes as the clinical improvement scheme, introduced with the 2004 ‘new GMS’ contract, saw a massive 40% reduction in targets in 2014/15 and as an increasing number of GPs are working to local alternative deals under CCG co-commissioning.

GPC chair Dr Chaand Nagpaul said that the agreement would ’look at ending QOF in its entirety’ from April 2017.

Also with a view to the 2017/18 contract, the negotiating parties will also explore ending the DES focusing on avoiding unplanned admission, introduced as part of the 2014/15 contract agreement but hugely criticised by GP leaders for being overly bureaucratic.

Health secretary Jeremy Hunt has repeatedly hinted at the removal of QOF, including telling Pulse last year that he was ‘not a fan’ of such financial incentives. However, he has also indicated that he wishes GPs to continue to record clinical outcomes against the framework.

Somerset was the first area of England to get rid of QOF and work to a local alternative scheme in 2014, with initial evaluation of the project revealing it had not led to impaired clinical outcomes.

The report found that dropping the QOF has freed up GPs to offer patients more holistic, person-centred and co-ordinated care – without any reduction in measures of quality.

Readers' comments (7)

  • Good. So should appraisal and revalidation. Only then would I even consider working in UK

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  • accountability !

    QOF was trumped as the be all and end all and was forced through - after all the cost and pain of implementing it - the talk is it might go (good). But it clearly shows that those in charge do not think things through and 'unintended consequences' are often brought up but these things are predictable - like the CQC, like 111, like revalidation, like NICE. Again - we will be forced to accept ideas like 7 day access - which will fall apart in the future. Why do the RCGP , GPC, LMC keep saying yes. What is the point of the BMA if it can never say no ? we are in such a mess as colleagues are unable to say no !

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  • NHS GP Decision Tree
    BMA Says Yes BMA Says No
    | |
    SoS Does his worst SOS ignores them
    SoS Does it anyway

    Non-NHS GP Decision Tree

    Does my patient pay for it?
    Yes No
    | |
    Do it Don't do it

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  • No QOF = No Pay.
    No QOF = More work for no pay.

    When will our "leaders" understand that we will never get a fair deal? NEVER!

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  • Una Coals should lead the GPC. I have no confidence with the current GPC.

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  • So QOF will go, as will payments for QOF, but Hunt still wants us to continue to record clinical outcomes. Sounds like do the work and don't get paid. Just say no. I'm all out of favours for the NHS now.

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