The indicators detailed in this section have been extracted from the 2013/14 QOF guidance with the agreement of NHS Employers and the General Practitioners Committee of the BMA. Please note that QOF indicators are subject to change in subsequent years. The current, complete version of the guidance is available to download from:
The tables below cover the clinical, public health, and quality and productivity domains; these indicators apply to England, but do not account for Northern Ireland, Scotland, and Wales. Indicators across all domains were renumbered from April 2013. They are prefixed by an abbreviation of the category to which they belong, for example coronary heart disease indicator one is CHD001. Points are attached to each indicator and determine the sum paid to each practice.
Key:
| Wording change | |
| Threshold change | |
| Point change | |
| New | |
| Replaced |
| CLINICAL DOMAIN | ||||
| Atrial fibrillation (AF) | ||||
| No. | Indicator | Amendments | Points | Payment stages |
| AF001 | The contractor establishes and maintains a register of patients with atrial fibrillation | Minor wording change | 5 | – |
| AF002 | The percentage of patients with atrial fibrillation in whom stroke risk has been assessed using the CHADS2 risk stratification scoring system in the preceding 12 months (excluding those whose previous CHADS2 score is greater than 1) |
15–12 month change | 10 | 40–90% |
| AF003 | In those patients with atrial fibrillation in whom there is a record of a CHADS2 score of 1 (latest in the preceding 12 months), the percentage of patients who are currently treated with anti-coagulation drug therapy or anti-platelet therapy |
Threshold change 15–12 month change |
6 | 57–97% |
| AF004 | In those patients with atrial fibrillation whose latest record of a CHADS2 score is greater than 1, the percentage of patients who are currently treated with anti-coagulation therapy | 15–12 month change | 6 | 40–70% |
| Total points | 27 | |||
| Secondary prevention of coronary heart disease (CHD) | ||||
| No. | Indicator | Amendments | Points | Payment stages |
| CHD001 | The contractor establishes and maintains a register of patients with coronary heart disease | Minor wording change | 4 | – |
| CHD002 | The percentage of patients with coronary heart disease in whom the last blood pressure reading (measured in the preceding 12 months) is 150/90 mmHg or less |
Threshold change 15–12 month change |
17 | 53–93% |
| CHD003 | The percentage of patients with coronary heart disease whose last measured total cholesterol (measured in the preceding 12 months) is 5 mmol/l or less |
Threshold change 15–12 month change |
17 | 45–85% |
| CHD004 | The percentage of patients with coronary heart disease who have had influenza immunisation in the preceding 1 September to 31 March | Threshold change | 7 | 56–96% |
| CHD005 | The percentage of patients with coronary heart disease with a record in the preceding 12 months that aspirin, an alternative anti-platelet therapy, or an anti-coagulant is being taken |
Threshold change 15–12 month change |
7 | 56–96% |
| CHD006 | The percentage of patients with a history of myocardial infarction (on or after 1 April 2011) currently treated with an ACE-I (or ARB if ACE-I intolerant), aspirin or an alternative anti-platelet therapy, beta-blocker and statin |
Minor wording change Business rules amendment Threshold change |
10 | 60–100% |
| Total points | 62 | |||
| Heart failure (HF) | ||||
| No. | Indicator | Amendments | Points | Payment stages |
| HF001 | The contractor establishes and maintains a register of patients with heart failure | Minor wording change | 4 | – |
| HF002 | The percentage of patients with a diagnosis of heart failure (diagnosed on or after 1 April 2006) which has been confirmed by an echocardiogram or by specialist assessment 3 months before or 12 months after entering on to the register | Minor wording change | 6 | 50–90% |
| HF003 | In those patients with a current diagnosis of heart failure due to left ventricular systolic dysfunction, the percentage of patients who are currently treated with an ACE-I or ARB |
Minor wording change Threshold change |
10 | 60–100% |
| HF004 | In those patients with a current diagnosis of heart failure due to left ventricular systolic dysfunction who are currently treated with an ACE-I or ARB, the percentage of patients who are additionally currently treated with a beta-blocker licensed for heart failure | Minor wording change | 9 | 40–65% |
| Total points | 29 | |||
| Hypertension (HYP) | |||||||
| No. | Indicator | Amendments | Points | Payment stages | |||
| HYP001 | The contractor establishes and maintains a register of patients with established hypertension | Minor wording change | 6 | – | |||
| HYP002 | The percentage of patients with hypertension in whom the last blood pressure reading (measured in the preceding 9 months) is 150/90 mmHg or less |
Minor wording change Point and threshold change |
10 | 44–84% | |||
| HYP003 | The percentage of patients aged 79 or under with hypertension in whom the last blood pressure reading (measured in the preceding 9 months) is 140/90 mmHg or less | New indicator | 50 | 40–80% | |||
| HYP004 | The percentage of patients with hypertension aged 16 or over and who have not attained the age of 75 in whom there is an assessment of physical activity, using GPPAQ, in the preceding 12 months | New indicator | 5 | 40–90% | |||
| HYP005 | The percentage of patients with hypertension aged 16 or over and who have not attained the age of 75 who score ‘less than active’ on GPPAQ in the preceding 12 months, who also have a record of brief intervention in the preceding 12 months |
New indicator | 6 | 40–90% | |||
| Total points | 77 | ||||||
| Peripheral arterial disease (PAD) | ||||
| No. | Indicator | Amendments | Points | Payment stages |
| PAD001 | The contractor establishes and maintains a register of patients with peripheral arterial disease | Minor wording change | 2 | – |
| PAD002 | The percentage of patients with peripheral arterial disease in whom the last blood pressure reading (measured in the preceding 12 months) is 150/90 mmHg or less |
Minor wording change 15–12 month change |
2 | 40–90% |
| PAD003 | The percentage of patients with peripheral arterial disease in whom the last measured total cholesterol (measured in the preceding 12 months) is 5 mmol/l or less | 15–12 month change | 3 | 40–90% |
| PAD004 | The percentage of patients with peripheral arterial disease with a record in the preceding 12 months that aspirin or an alternative anti-platelet is being taken |
Minor wording change 15–12 month change |
2 | 40–90% |
| Total points | 9 | |||
| Stroke and transient ischaemic attack (STIA) | ||||
| No. | Indicator | Amendments | Points | Payment stages |
| STIA001 | The contractor establishes and maintains a register of patients with stroke or TIA | Minor wording change | 2 | – |
| STIA002 | The percentage of patients with a stroke or TIA (diagnosed on or after 1 April 2008) who have a record of a referral for further investigation between 3 months before or 1 month after the date of the latest recorded stroke or TIA | Minor wording change | 2 | 45–80% |
| STIA003 | The percentage of patients with a history of stroke or TIA in whom the last blood pressure reading (measured in the preceding 12 months) is 150/90 mmHg or less | Minor wording change 15–12 month change |
5 | 40–75% |
| STIA004 | The percentage of patients with stroke or TIA who have a record of total cholesterol in the preceding 12 months | Minor wording change 15–12 month change |
2 | 50–90% |
| STIA005 | The percentage of patients with stroke shown to be non-haemorrhagic, or a history of TIA, whose last measured total cholesterol (measured in the preceding 12 months) is 5 mmol/l or less |
Minor wording change 15–12 month change |
5 | 40–65% |
| STIA006 | The percentage of patients with stroke or TIA who have had influenza immunisation in the preceding 1 September to 31 March | Threshold change | 2 | 55–95% |
| STIA007 | The percentage of patients with a stroke shown to be non-haemorrhagic, or a history of TIA, who have a record in the preceding 12 months that an anti-platelet agent, or an anti-coagulant is being taken |
Minor wording change 15–12 month change Threshold change |
4 | 57–97% |
| Total points | 22 | |||
| Diabetes mellitus (DM) | ||||
| No. | Indicator | Amendments | Points | Payment stages |
| DM001 | The contractor establishes and maintains a register of all patients aged 17 or over with diabetes mellitus, which specifies the type of diabetes where a diagnosis has been confirmed | Minor wording change | 6 | – |
| DM002 | The percentage of patients with diabetes, on the register, in whom the last blood pressure reading (measured in the preceding 12 months) is 150/90 mmHg or less |
Minor wording change Threshold change |
8 | 53–93% |
| DM003 | The percentage of patients with diabetes, on the register, in whom the last blood pressure reading (measured in the preceding 12 months) is 140/80 mm Hg or less |
Minor wording change Threshold change |
10 | 38–78% |
| DM004 | The percentage of patients with diabetes, on the register, whose last measured total cholesterol (measured within the preceding 12 months) is 5 mmol/l or less | Minor wording change 15–12 month change |
6 | 40–75% |
| DM005 | The percentage of patients with diabetes, on the register, who have a record of an albumin:creatinine ratio test in the preceding 12 months |
Minor wording change 15–12 month change |
3 | 50–90% |
| DM006 | The percentage of patients with diabetes, on the register, with a diagnosis of nephropathy (clinical proteinuria) or micro-albuminuria who are currently treated with ACE-I (or ARBs) | Minor wording change Threshold change |
3 | 57–97% |
| DM007 | The percentage of patients with diabetes, on the register, in whom the last IFCC-HbA1c is 59 mmol/mol or less in the preceding 12 months |
Minor wording change Threshold change |
17 | 35–75% |
| DM008 | The percentage of patients with diabetes, on the register, in whom the last IFCC-HbA1c is 64 mmol/mol or less in the preceding 12 months |
Minor wording change Threshold change |
8 | 43–83% |
| DM009 | The percentage of patients with diabetes, on the register, in whom the last IFCC-HbA1c is 75 mmol/mol or less in the preceding 12 months |
Minor wording change Threshold change |
10 | 52–92% |
| DM010 | The percentage of patients with diabetes, on the register, who have had influenza immunisation in the preceding 1 September to 31 March |
Minor wording change Threshold change |
3 | 55–95% |
| DM011 | The percentage of patients with diabetes, on the register, who have a record of retinal screening in the preceding 12 months | Minor wording change 15–12 month change |
5 | 50–90% |
| DM012 | The percentage of patients with diabetes, on the register, with a record of a foot examination and risk classification: 1) low risk (normal sensation, palpable pulses), 2) increased risk (neuropathy or absent pulses), 3) high risk (neuropathy or absent pulses plus deformity or skin changes or previous ulcer) or 4) ulcerated foot within the preceding 12 months |
Minor wording change 15–12 month change |
4 | 50–90% |
| DM013 | The percentage of patients with diabetes, on the register, who have a record of a dietary review by a suitably competent professional in the preceding 12 months | New indicator | 3 | 40–90% |
| DM014 | The percentage of patients newly diagnosed with diabetes, on the register, in the preceding 1 April to 31 March who have a record of being referred to a structured education programme within 9 months after entry on to the diabetes register | New indicator | 11 | 40–90% |
| DM015 | The percentage of male patients with diabetes, on the register, with a record of being asked about erectile dysfunction in the preceding 12 months | New indicator | 4 | 40–90% |
| DM016 | The percentage of male patients with diabetes, on the register, who have a record of erectile dysfunction with a record of advice and assessment of contributory factors and treatment options in the preceding 12 months | New indicator | 6 | 40–90% |
| Total points | 107 | |||
| Hypothyroidism (THY) | ||||
| No. | Indicator | Amendments | Points | Payment stages |
| THY001 | The contractor establishes and maintains a register of patients with hypothyroidism who are currently treated with levothyroxine | Minor wording change | 1 | – |
| THY002 | The percentage of patients with hypothyroidism, on the register, with thyroid function tests recorded in the preceding 12 months |
Minor wording change 15–12 month change |
6 | 50–90% |
| Total points | 7 | |||
| Asthma (AST) | ||||
| No. | Indicator | Amendments | Points | Payment stages |
| AST001 | The contractor establishes and maintains a register of patients with asthma, excluding patients with asthma who have been prescribed no asthma-related drugs in the preceding 12 months | Minor wording change | 4 | – |
| AST002 | The percentage of patients aged 8 or over with asthma (diagnosed on or after 1 April 2006), on the register, with measures of variability or reversibility recorded between 3 months before and anytime after diagnosis | Minor wording change | 15 | 45–80% |
| AST003 | The percentage of patients with asthma, on the register, who have had an asthma review in the preceding 12 months that includes an assessment of asthma control using the 3 RCP questions |
Minor wording change 15–12 month change |
20 | 45–70% |
| AST004 | The percentage of patients with asthma aged 14 or over who have not attained the age of 20, on the register, in whom there is a record of smoking status in the preceding 12 months |
Minor wording change 15–12 month change |
6 | 45–80% |
| Total points | 45 | |||
| Chronic obstructive pulmonary disease (COPD) | ||||
| No. | Indicator | Amendments | Points | Payment stages |
| COPD001 | The contractor establishes and maintains a register of patients with COPD | Minor wording change | 3 | – |
| COPD002 | The percentage of patients with COPD (diagnosed on or after 1 April 2011) in whom the diagnosis has been confirmed by post bronchodilator spirometry between 3 months before and 12 months after entering on to the register | Minor wording change | 5 | 45–80% |
| COPD003 | The percentage of patients with COPD who have had a review, undertaken by a healthcare professional, including an assessment of breathlessness using the Medical Research Council dyspnoea scale in the preceding 12 months |
Minor wording change 15–12 month change |
9 | 50–90% |
| COPD004 | The percentage of patients with COPD with a record of FEV1 in the preceding 12 months |
Minor wording change 15–12 month change |
7 | 40–75% |
| COPD005 | The percentage of patients with COPD and Medical Research Council dyspnoea grade ≥3 at any time in the preceding 12 months, with a subsequent record of oxygen saturation value within the preceding 12 months | New indicator | 5 | 40–90% |
| COPD006 | The percentage of patients with COPD who have had influenza immunisation in the preceding 1 September to 31 March | Threshold change | 6 | 57–97% |
| Total points | 35 | |||
| Dementia (DEM) | ||||
| No. | Indicator | Amendments | Points | Payment stages |
| DEM001 | The contractor establishes and maintains a register of patients diagnosed with dementia | Minor wording change | 5 | – |
| DEM002 | The percentage of patients diagnosed with dementia whose care has been reviewed in a face-to-face review in the preceding 12 months |
Minor wording change 15–12 month change |
15 | 35–70% |
| DEM003 | The percentage of patients with a new diagnosis of dementia recorded in the preceding 1 April to 31 March with a record of FBC, calcium, glucose, renal and liver function, thyroid function tests, serum vitamin B12, and folate levels recorded between 6 months before or after entering on to the register | Minor wording change | 6 | 45–80% |
| Total points | 26 | |||
| Depression (DEP) | ||||
| No. | Indicator | Amendments | Points | Payment stages |
| DEP001 | The percentage of patients aged 18 or over with a new diagnosis of depression in the preceding 1 April to 31 March, who have had a bio-psychosocial assessment by the point of diagnosis. The completion of the assessment is to be recorded on the same day as the diagnosis is recorded | Replacing DEP6 | 21 | 50–90% |
| DEP002 | The percentage of patients aged 18 or over with a new diagnosis of depression in the preceding 1 April to 31 March, who have been reviewed not earlier than 10 days after and not later than 35 days after the date of diagnosis |
Replacing DEP7 | 10 | 45–80% |
| Total points | 31 | |||
| Mental health (MH) | ||||
| No. | Indicator | Amendments | Points | Payment stages |
| MH001 | The contractor establishes and maintains a register of patients with schizophrenia, bipolar affective disorder and other psychoses and other patients on lithium therapy | Minor wording change | 4 | – |
| MH002 | The percentage of patients with schizophrenia, bipolar affective disorder and other psychoses who have a comprehensive care plan documented in the record (in the preceding 12 months), agreed between individuals, their family and/or carers as appropriate |
Minor wording change Threshold change |
6 | 40–90% |
| MH003 | The percentage of patients with schizophrenia, bipolar affective disorder and other psychoses who have a record of blood pressure in the preceding 12 months |
Minor wording change 15–12 month change |
4 | 50–90% |
| MH004 | The percentage of patients aged 40 or over with schizophrenia, bipolar affective disorder and other psychoses who have a record of total cholesterol:hdl ratio in the preceding 12 months |
Minor wording change 15–12 month change |
5 | 45–80% |
| MH005 | The percentage of patients aged 40 or over with schizophrenia, bipolar affective disorder and other psychoses who have a record of blood glucose or HbA1c in the preceding 12 months |
Minor wording change 15–12 month change |
5 | 45–80% |
| MH006 | The percentage of patients with schizophrenia, bipolar affective disorder and other psychoses who have a record of BMI in the preceding 12 months |
Minor wording change 15–12 month change |
4 | 50–90% |
| MH007 | The percentage of patients with schizophrenia, bipolar affective disorder, and other psychoses who have a record of alcohol consumption in the preceding 12 months |
Minor wording change 15–12 month change |
4 | 50–90% |
| MH008 | The percentage of women aged 25 or over and who have not attained the age of 65 with schizophrenia, bipolar affective disorder, and other psychoses whose notes record that a cervical screening test has been performed in the preceding 5 years | Minor wording change | 5 | 45–80% |
| MH009 | The percentage of patients on lithium therapy with a record of serum creatinine and TSH in the preceding 9 months | No change | 1 | 50–90% |
| MH010 | The percentage of patients on lithium therapy with a record of lithium levels in the therapeutic range within the preceding 4 months | No change | 2 | 50–90% |
| Total points | 40 | |||
| Cancer (CAN) | ||||
| No. | Indicator | Amendments | Points | Payment stages |
| CAN001 | The contractor establishes and maintains a register of all cancer patients defined as a ‘register of patients with a diagnosis of cancer excluding non-melanotic skin cancers diagnosed on or after 1 April 2003’ | Minor wording change | 5 | – |
| CAN002 | The percentage of patients with cancer, diagnosed within the preceding 15 months, who have a patient review recorded as occurring within 3 months of the contractor receiving confirmation of the diagnosis |
Replacing CANCER3 | 6 | 50–90% |
| Total points | 11 | |||
| Chronic kidney disease (CKD) | ||||
| No. | Indicator | Amendments | Points | Payment stages |
| CKD001 | The contractor establishes and maintains a register of patients aged 18 or over with CKD (US National Kidney Foundation: Stage 3 to 5 CKD) | Minor wording change | 6 | – |
| CKD002 | The percentage of patients on the CKD register in whom the last blood pressure reading (measured in the preceding 12 months) is 140/85 mmHg or less |
Minor wording change 15–12 month change Threshold change |
11 | 41–81% |
| CKD003 | The percentage of patients on the CKD register with hypertension and proteinuria who are currently treated with an ACE-I or ARB |
Minor wording change 15–12 month change |
9 | 45–80% |
| CKD004 | The percentage of patients on the CKD register whose notes have a record of a urine albumin:creatinine ratio (or protein:creatinine ratio) test in the preceding 12 months |
Minor wording change 15–12 month change |
6 | 45–80% |
| Total points | 32 | |||
| Epilepsy (EP) | ||||
| No. | Indicator | Amendments | Points | Payment stages |
| EP001 | The contractor establishes and maintains a register of patients aged 18 or over receiving drug treatment for epilepsy | Minor wording change | 1 | – |
| EP002 | The percentage of patients aged 18 or over on drug treatment for epilepsy who have been seizure free for the last 12 months recorded in the preceding 12 months |
Minor wording change 15–12 month change |
6 | 45–70% |
| EP003 | The percentage of women aged 18 or over and who have not attained the age of 55 who are taking antiepileptic drugs who have a record of information and counselling about contraception, conception, and pregnancy in the preceding 12 months |
Minor wording change 15–12 month change |
3 | 50–90% |
| Total points | 10 | |||
| Learning disability (LD) | ||||
| No. | Indicator | Amendments | Points | Payment stages |
| LD001 | The contractor establishes and maintains a register of patients aged 18 or over with learning disabilities |
Minor wording change 15–12 month change |
4 | – |
| LD002 | The percentage of patients on the learning disability register with Down’s syndrome aged 18 or over who have a record of blood TSH in the preceding 12 months (excluding those who are on the thyroid disease register) |
Minor wording change 15–12 month change |
3 | 45–70% |
| Total points | 7 | |||
| Osteoporosis: secondary prevention of fragility fractures (OST) | ||||
| No. | Indicator | Amendments | Points | Payment stages |
| OST001 | The contractor establishes and maintains a register of patients: 1. Aged 50 or over and who have not attained the age of 75 with a record of a fragility fracture on or after 1 April 2012 and a diagnosis of osteoporosis confirmed on DXA scan, and 2. Aged 75 or over with a record of a fragility fracture on or after 1 April 2012 | Minor wording change | 3 | – |
| OST002 | The percentage of patients aged 50 or over and who have not attained the age of 75, with a fragility fracture on or after 1 April 2012, in whom osteoporosis is confirmed on DXA scan, who are currently treated with an appropriate bone-sparing agent | Minor wording change | 3 | 30–60% |
| OST003 | The percentage of patients aged 75 or over with a fragility fracture on or after 1 April 2012, who are currently treated with an appropriate bone-sparing agent | Minor wording change | 3 | 30–60% |
| Total points | 9 | |||
| Rheumatoid arthritis (RA) | ||||
| No. | Indicator | Amendments | Points | Payment stages |
| RA001 | The contractor establishes and maintains a register of patients aged 16 or over with rheumatoid arthritis | New indicator | 1 | – |
| RA002 | The percentage of patients with rheumatoid arthritis, on the register, who have had a face-to-face review in the preceding 12 months | New indicator | 5 | 40–90% |
| RA003 | The percentage of patients with rheumatoid arthritis aged 30 or over and who have not attained the age of 85 who have had a cardiovascular risk assessment using a CVD risk assessment tool adjusted for RA in the preceding 12 months | New indicator | 7 | 40–90% |
| RA004 | The percentage of patients aged 50 or over and who have not attained the age of 91 with rheumatoid arthritis who have had an assessment of fracture risk using a risk assessment tool adjusted for RA in the preceding 24 months | New indicator | 5 | 40–90% |
| Total points | 18 | |||
| Palliative care (PC) | ||||
| No. | Indicator | Amendments | Points | Payment stages |
| PC001 | The contractor establishes and maintains a register of all patients in need of palliative care/support irrespective of age | Minor wording change | 3 | – |
| PC002 | The contractor has regular (at least 3 monthly) multidisciplinary case review meetings where all patients on the palliative care register are discussed | Minor wording change | 3 | – |
| Total points | 6 | |||
| PUBLIC HEALTH DOMAIN (and additional services PH domain) | ||||
| Cardiovascular disease—primary prevention (CVD-PP) | ||||
| No. | Indicator | Amendments | Points | Payment stages |
| CVD-PP001 | In those patients with a new diagnosis of hypertension aged 30 or over and who have not attained the age of 75, recorded between the preceding 1 April to 31 March (excluding those with pre-existing CHD, diabetes, stroke and/or TIA), who have a recorded CVD risk assessment score (using an assessment tool agreed with the NHSCB) of ≥20% in the preceding 125 months: the percentage who are currently treated with statins |
Replacing CVD-PP1 Minor wording change 15–12 month change |
10 | 40–90% |
| CVD-PP002 | The percentage of patients diagnosed with hypertension (diagnosed on or after 1 April 2009) who are given lifestyle advice in the preceding 12 months for: smoking cessation, safe alcohol consumption and healthy diet |
Minor wording change 15–12 month change |
5 | 40–75% |
| Total points | 15 | |||
| Blood pressure (BP) | ||||
| No. | Indicator | Amendments | Points | Payment stages |
| BP001 | The percentage of patients aged 40 or over who have a record of blood pressure in the preceding 5 years | Replacing RECORDS11 & 17 | 15 | 50–90% |
| Total points | 15 | |||
| Obesity (OB) | ||||
| No. | Indicator | Amendments | Points | Payment stages |
| OB001 | The contractor establishes and maintains a register of patients aged 16 or over with a BMI ≥30 in the preceding 12 months |
Minor wording change 15–12 month change |
8 | – |
| Total points | 8 | |||
| Smoking (SMOK) | ||||
| No. | Indicator | Amendments | Points | Payment stages |
| SMOK001 | The percentage of patients aged 15 or over whose notes record smoking status in the preceding 24 months |
Minor wording change 27–24 month change |
11 | 50–90% |
| SMOK002 | The percentage of patients with any or any combination of the following conditions: CHD, PAD, stroke or TIA, hypertension, diabetes, COPD, CKD, asthma, schizophrenia, bipolar affective disorder, or other psychoses whose notes record smoking status in the preceding 12 months |
Minor wording change 15–12 month change |
25 | 50–90% |
| SMOK003 | The contractor supports patients who smoke in stopping smoking by a strategy which includes providing literature and offering appropriate therapy | Replacing INFORMATION5 | 2 | – |
| SMOK004 | The percentage of patients aged 15 or over who are recorded as current smokers who have a record of an offer of support and treatment within the preceding 24 months |
Minor wording change 15–12 month change |
12 | 40–90% |
| SMOK005 | The percentage of patients with any or any combination of the following conditions: CHD, PAD, stroke or TIA, hypertension, diabetes, COPD, CKD, asthma, schizophrenia, bipolar affective disorder, or other psychoses who are recorded as current smokers who have a record of an offer of support and treatment within the preceding 12 months |
Minor wording change 15–12 month change Threshold change |
25 | 56–96% |
| Total points | 75 | |||
| Cervical screening (CS) | ||||
| No. | Indicator | Amendments | Points | Payment stages |
| CS001 | The contractor has a protocol that is in line with national guidance agreed with the NHSCB for the management of cervical screening, which includes staff training, management of patient call/recall, exception reporting and the regular monitoring of inadequate sample rates | Minor wording change | 7 | – |
| CS002 | The percentage of women aged 25 or over and who have not attained the age of 65 whose notes record that a cervical screening test has been performed in the preceding 5 years | Minor wording change | 11 | 45–80% |
| CS003 | The contractor ensures there is a system for informing all women of the results of cervical screening tests | Minor wording change | 2 | – |
| CS004 | The contractor has a policy for auditing its cervical screening service and performs an audit of inadequate cervical screening tests in relation to individual sample-takers at least every 2 years | Minor wording change | 2 | – |
| Total points | 22 | |||
| Child health surveillance (CHS) | ||||
| No. | Indicator | Amendments | Points | Payment stages |
| CHS001 | Child development checks are offered at intervals that are consistent with national guidelines and policy agreed with NHSCB | Minor wording change | 6 | – |
| Total points | 6 | |||
| Maternity services (MAT) | ||||
| No. | Indicator | Amendments | Points | Payment stages |
| MAT001 | Antenatal care and screening are offered according to current local guidelines agreed with NHSCB | Minor wording change | 6 | – |
| Total points | 6 | |||
| Contraception (CON) (continued overleaf) | ||||
| No. | Indicator | Amendments | Points | Payment stages |
| CON001 | The contractor establishes and maintains a register of women aged 54 or under who have been prescribed any method of contraception at least once in the last year, or other clinically appropriate interval e.g. last 5 years for an IUS | Minor wording change | 4 | – |
| CON002 | The percentage of women, on the register, prescribed an oral or patch contraceptive method in the preceding 12 months who have also received information from the contractor about long-acting reversible methods of contraception in the preceding 12 months |
Minor wording change 15–12 month change |
3 | 50–90% |
| CON003 | The percentage of women, on the register, prescribed emergency hormonal contraception one or more times in the preceding 12 months by the contractor who have received information from the contractor about long acting reversible methods of contraception at the time of or within 1 month of the prescription |
Minor wording change 15–12 month change |
3 | 50–90% |
| Total points | 10 | |||
| QUALITY AND PRODUCTIVITY DOMAIN | ||||
| Quality and productivity (QP) | ||||
| No. | Indicator | Amendments | Points | Payment stages |
| QP001 | The contractor reviews data on secondary care outpatient referrals, for patients on the contractor’s registered list, provided by NHSCB | Minor wording change | 5 | – |
| QP002 | The contractor participates in an external peer review with other contractors who are members of the same clinical commissioning group to compare its secondary care outpatient referral data with that of the other contractors. The contractor agrees with the group, areas for commissioning or service design improvements | Minor wording change | 5 | – |
| QP003 | The contractor engages with the development of and follows 3 care pathways, agreed with NHSCB, for improving the management of patients in the primary care setting (unless in individual cases they justify clinical reasons for not doing this) to avoid inappropriate outpatient referrals | Minor wording change | 11 | – |
| QP004 | The contractor reviews data on emergency admissions, for patients on the contractor’s registered list, provided by NHSCB | Minor wording change | 5 | – |
| QP005 | The contractor participates in an external peer review with other contractors who are members of the same clinical commissioning group to compare its data on emergency admissions with that of the other contractors. The contractor agrees with the group areas for commissioning or service design improvements | Minor wording change | 15 | – |
| QP006 | The contractor engages with the development of and follows 3 care pathways, agreed with the NHSCB, (unless in individual cases they justify clinical reasons for not doing this) in the management and treatment of patients in aiming to avoid emergency admissions | Minor wording change | 28 | – |
| QP007 | The contractor reviews data on accident and emergency attendances, for patients on the contractor’s registered list, provided by NHSCB. The review will include consideration of whether access to clinicians in the contractor’s premises is appropriate, in light of the patterns on accident and emergency attendance | Minor wording change | 7 | – |
| QP008 | The contractor participates in an external peer review with other contractors who are members of the same clinical commissioning group to compare its data on accident and emergency attendances with that of the other contractors. The contractor agrees an improvement plan with the group. The review should include, if appropriate, proposals for improvement to access arrangements in the contractor’s premises in order to reduce avoidable accident and emergency attendances and may also include proposals for commissioning or service design improvements | Minor wording change | 9 | – |
| QP009 | The contractor implements the improvement plan that aims to reduce avoidable accident and emergency attendances | Minor wording change | 15 | – |
| Total points | 100 | |||
