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General medical services contract: Quality and outcomes framework

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  • Release date: 17 September 2013
  • Period covered: 2012-13
  • Next update: 29 October 2014
An annual report includes information on the performance of contractors and recognition of good practice.

The Quality and Outcomes Framework (QOF) is a system of financial incentives. It is about rewarding contractors for good practice (and its associated workload) through participation in an annual quality improvement cycle. Whilst it is voluntary all practices in Wales participated in 2012-13. The QOF was first implemented in April 2004, and the financial year 2012-13 therefore represents the eighth year of the QOF. The 2012-13 data is illustrated in terms of achievement, exception reporting and the number of patients on disease registers i.e. prevalence.

Key points

  • 389 (82.6 per cent) of the 471 practices in Wales achieved 950 or more of the 1,000 QOF points. In 2011-12, 87.1 per cent of practices achieved this level. However changes to some of the indicators this year mean the two percentages are not comparable.
  • Three quarters of practices (353 practices) achieved 641 or more of the 669 potential points in the clinical domain, the major part of QOF.
  • The largest single condition disease register, in terms of the number of patients as a percentage of all patients on practice lists, was Hypertension (15.5 per cent).


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