Primary Medical Services Quali

 

Primary Medical Services Quality and Outcomes Framework Local Reports

Quality Assurance Assesssment Programme

The Primary Medical Services (Scotland) Act 2004 introduced the concept of the Quality and Outcomes Framework (QOF) as a voluntary contractual requirement for participating GP practices. The QOF provides a significant financial incentive to demonstrate achievement against a wide range of clinical and organisational quality standards. Performance measures reflect the quality of care delivered to patients with chronic conditions such as coronary heart disease, hypertension, asthma and diabetes. Organisational standards include, for example, clinical records and staff training. Other clinical services such as cervical screening and child health surveillance are also covered, in addition to patient experience.
 
Investment associated with QOF payments in 2005/06 was approximately 137 million across Scotland (average payment 134k per practice). Monitoring arrangements for the QOF include a requirement for Boards to undertake a programme of supportive QOF review visits to their practices. The specification for the QOF review process is defined in guidance issued each year by the national Quality Working Group, which reports to the Scottish Executive Health Department General Medical Services (GMS) Pay Modernisation Directorate. The subgroup tasked with producing QOF review guidance is known as the Winter Working Group (Chaired by Dr Mike Winter, Associate Medical Director NHS Lothian Primary Care Organisation). Current guidance has been issued to the service as the Winter 2 report; available via the Pay Modernisation website.
 
 

Published Date: 31 December 2006

Scrutiny

Healthcare Improvement Scotland took over the responsibilities of NHS Quality Improvement Scotland on 1st April 2011.