Park Leys Medical Practice

The Quality and Outcomes Framework (QOF) is a voluntary annual reward and incentive programme for all GP surgeries in England, detailing practice achievement results. It is not about performance management but resourcing and then rewarding good practice.

The QOF contains five main components, known as domains. Each domain consists of a set of measures of achievement, known as indicators, against which practices score points according to their level of achievement.

• Clinical: this domain consists of 80 indicators across 19 clinical areas (e.g. coronary heart disease, heart failure, hypertension)

• Patient Experience: this domain consists of four indicators that relate to length of consultations and to patient surveys

• Additional Services: this domain consists of eight indicators across four service areas which include cervical screening, child health surveillance, maternity services, contraceptive services

• Holistic Care: this domain is a measure of the breadth of care across the clinical domain

• Organisational: this domain consists of 43 indicators across five organisational areas – records and information; information for patients; education and training; practice management and medicines management.

QOF gives an indication of the overall achievement of a surgery through a points system. Practices aim to deliver high quality care across a range of areas for which they score points. Put simply, the higher the score, the higher the financial reward for the practice. The final payment is adjusted to take account of practice list size and the relative health of patients in their area.

Park Leys QOF Results
Year	Points	Percentage	Comments
2008/9	965.25/1000	96.53%	In 2008 the score included some results from the GP Patient Survey for the first time.
2007/8	999.21/1000	99.92%
2006/7	999.36/1000	99.94%	In 2006 the maximum score was reduced from 1050 to 1000
2005/6	1049.78/1050	99.97%
2004/5	1047.70/150	99.78%