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Headline

MPs back plan to bundle diabetes QOF indicators

Comment

I will be interested to see the results of the investigation into differences between QOF and the NDA. Although the NDA extracts data on the results of a test for microalbuminuria they do not use them to determine whether or not a test has been performed. So, if a GP only enters the read code for the result of the test but does not also enter the read code to say that the test has been performed, the NDA assumes that the test has not been performed. The NDA does, however, use the result of the test in other parts of the report, so clearly they think the results data are valid. This seems to me to be an error in the NDA analysis. Quite how they expect us to get a result without having performed the test is beyond me. Recording only the result and not the fact that the test has been performed is in accordance with the principles in section 1 of the "Quality and Outcomes Framework guidance for GMS contract 2011/12" http://www.nhsemployers.org/SiteCollectionDocuments/QOFguidanceGMScontract_2011_12_FL%2013042011.pdf where principles 2, 3 and 4 are: #2 The number of indicators in each clinical condition should be kept to the minimum number compatible with an accurate assessment of patient care. #3. Data should never be collected purely for audit purposes. #4 Only data which are useful in patient care should be collected. The basis of the consultation should not be distorted by an over emphasis on data collection. An appropriate balance has to be struck between excess data collection and inadequate sampling.

Posted date

11 Nov 2012

Posted time

6:49pm

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