I've always found the first week in April a mixed blessing… promises of longer days, more sunshine (possibly!) and maybe some cricket, but this is always tempered with the dreaded ‘box of doom’ (aka the QoF prompt box), which you've been busily thinning down over the last year, suddenly exploding back into life with all your QoF points reset to zero. Depressing.
QoF has been around for 20 years now, and I can still remember the frantic work getting everything set up so we could maximise our potential points haul in that first year, but it wasn't long before this just came to be part and parcel of our everyday work, and annual cycle. Much has been written about QoF since 2004, and the debate remains about whether it truly does constitute ‘quality’, whether it has led to significant health outcome benefits, or whether it is a very expensive tick-box exercise that takes us away too often from our job of listening to why our patient has come to see us in the first place.
Whatever your views, QoF is still with us, and it's that time of the year again when the counter goes back to zero (excluding those income-protected indicators discussed in the KISS below). QoF can seem complicated and cumbersome, and if you're like me and can barely make any sense out of those prompt boxes now (is that a QoF target, a ‘recommendation’ or some other piece of random information…) we thought a summary of what's in QoF, what's changed and what we have to do for 2024/25 might be useful. We've certainly had a number of requests to do a QoF summary, as we've done in previous years, so we hope you find these KISS summaries a useful resource as the year progresses.
There's an introductory KISS with some general information on QoF for this year together with key points on some of the clinical indicators, including definitions and which patients qualify in certain cohorts, as well as any new/updated indicators (just the one significant change on lipid targets for secondary prevention). We then have a further KISS summarising all the clinical indicators in easy-to-view tables.
Go to - Introductory KISS QoF 2024-25
Go to - KISS QoF 2024-25 Clinical Domains
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