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Differences in Quality and Outcomes Framework achievement thresholds between the four nations

Practice teams will now be aware that this year’s set of General Medical Services contract changes saw a substantial number of indicators replaced, a rise in the thresholds for payment for more than a few indicators, and a re-evaluation of many Quality and Outcomes Framework points. Considerable differences have now become apparent between the four nations of the NHS in the ways that the General Medical Services contract is being implemented (Kenny, 2013).

Diabetes & Primary Care presents the changes to the diabetes domain achievement thresholds in tabular form for the first time. Teams will also need to seek local guidance on the time scales within which these thresholds apply, as there are important differences between the nations in this area as well. This could have a significant impact on workflow for all of us.

For a larger version of the table, please download the PDF from the article options link at right.

Practice teams will now be aware that this year’s set of General Medical Services contract changes saw a substantial number of indicators replaced, a rise in the thresholds for payment for more than a few indicators, and a re-evaluation of many Quality and Outcomes Framework points. Considerable differences have now become apparent between the four nations of the NHS in the ways that the General Medical Services contract is being implemented (Kenny, 2013).

Diabetes & Primary Care presents the changes to the diabetes domain achievement thresholds in tabular form for the first time. Teams will also need to seek local guidance on the time scales within which these thresholds apply, as there are important differences between the nations in this area as well. This could have a significant impact on workflow for all of us.

For a larger version of the table, please download the PDF from the article options link at right.

British Medical Association (2013) Survival guide for increase in upper thresholds. BMA, London. Available at: http://bit.ly/1aWHWLM (accessed 31.07.13)
British Medical Association Scotland, Scottish Government (2013) Scottish Quality and Outcomes Framework 2013/2014. Scottish Government Health and Social Care Directorates, Edinburgh
British Medical Association Wales, Welsh Assembly Government (2013) Quality and Outcomes Framework Guidance for the GMS Contract Wales 2013/14. Welsh Assembly Government, Cardiff
Department of Health, Social Services and Public Safety (2013) Summary of Main QOF changes for NI 2013/14. DHSSPS, Belfast
Kenny C (2013) General Medical Services contract changes for 2013/14. Diabetes & Primary Care 15: 61–4

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