QOF 2008

RBW 11/08

Summary of 2008 Changes

• No new disease areas

• 8 domains have been updatedAsthma, AF, CKD, COPD, Depression, Pall Care, Smoking, Stroke/Tia

• 58.5 QOF points reallocated to reward patient satisfaction with access

• In some areas the guidance has changed, not the indicator

Points removed

• Hollistic care, speaking to clinicians, access a receptionist, openning hours, induction training, sterilisation, job adverts, fraud prevention, injectable neuroleptics, patient survey

SOPHIEs

• Changes not confirmed until middle of QOF year!!

• SOPHIEs not up to date

Asthma

• RCP 3 questions to be used as part of the asthma review process– Difficulty sleeping?– Symptoms during the day?– Interfered with usual activities?

• Effective from December 1st 2008

Atrial Fibrillation

• % diagnosed after 1/4/08 with ECG or specialist

• Confirmation within 3/12 of diagnosis.

CKD

• ACEi or ARB for those with hypertension AND proteinuria.

COPD

Diagnosis after 1/4/08 by post bronchodilator spirometry

Depression

• New guidance

• Questions should be asked as part of a consultation (ie not posted)

Palliative Care

• Now irrespective of age

Meetings restructured recently

Mental Health

• No indicator change

• Guidance updated– Face to face– Physical review– Care plan

Stroke/TIA

• Refer for further Ix within 1/12 of diagnosis

• Or up to 3/12 before the diagnosis was entered

Previously 12/12

Smoking

• Current – every year

• Ex-smokers – 3 consecutive QOF years

• Non smokers – yearly to 26