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NHS review backs calls for local QOF

Lord Darzi has added his voice to the growing calls for a locally negotiated quality and outcomes framework.

In his interim report, he reveals that his review will look at ‘whether there should be an independent process for setting and reviewing outcome measures in the framework'.

The review will also look at the concept of ‘greater flexibility for PCTs in setting outcomes that reflect local needs and priorities'.

In May, Pulse revealed that ministers were exploring the possibility of ‘further flexibility' for local commissioners, in response to a health select committee inquiry into workforce planning.

NHS Employers has told Pulse previously that ‘it would be interested in exploring' the concept of a locally negotiated QOF and was committed to discussing the issue with the Department of Health.

Its position appears set to clash with that of GPC negotiators, who have said that they had ‘always believed the QOF should be national'.

Dr David Jenner, a supporter of local variants on the QOF and contract lead for the NHS Alliance, said 5-10% of clinical domains could be locally adapted.

‘They should be small to begin with, maybe four to six domains which are on a national list, but the decision about whether they receive financial incentives should be informed by local conditions.'

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