Written Question · S3W-31402 · Session 3
By how much Quality and Outcomes Framework funding to GP practices for 2009-10 has (a) decreased and (b) increased as a result of the GP pa…
The question
To ask the Scottish Executive by how much Quality and Outcomes Framework funding to GP practices for 2009-10 has (a) decreased and (b) increased as a result of the GP patient access survey for 2008-09.
The answer
Quality and Outcomes Framework (QOF) payments made to Scottish GP practices for the 2008-09 year totalled approximately £128 million, compared with approximately £131 million for 2007-08. The overall reduction in payments was as a consequence of a series of changes made to the structure of the QOF between those two years. These changes included, but were not limited to, the use of the 2008-09 GP patient access survey.
The table below provides detail on payments associated with different parts of the QOF for 2007-08 and 2008-09. It is based on data for 996 Scottish General Practices that were open in both years and for which detailed comparable payments data are held centrally.
The two QOF indicators that were derived from the 2008-09 GP patient access survey (PE07 and PE08) had between them up to 58.5 QOF points available to each GP practice. This compares with 20 points available for a previous patient experience survey indicator (PE05) included in the 2007-08 QOF. Across 996 Scottish GP practices for which we can directly compare detailed payments information for 2007-08 with 2008-09, payments for this part of the patient experience domain of the QOF increased by approximately £2.5 million.
However, other indicators were removed from the 2007-08 QOF and the points that were previously available for these indicators were redistributed to the new PE07 and PE08 patient survey indicators. Many practices had achieved very high scores against the indicators that were removed, such as the holistic care bonus, which rewarded practices for consistently high achievement against clinical indicators (those covering health conditions such as diabetes, CHD and hypertension). The loss of practice income previously associated with holistic care and other indicators (approximately £4.7 million across the 996 practices compared) was greater than the increase in payments made under the revised patient experience domain of the QOF. This resulted in an overall reduction of approximately £2.2 million in payments to the 996 practices for which detailed comparisons have been made.
Payments for QOF year 2007-081,2
Indicator / Group
| Points Available
| % of Points Achieved
| Total Payment
Indicators/points in 2007-08 but removed for 2008-09
|
|
|
PE05
| 20.0
| 97.4
| £2,574,678
Holistic Care bonus
| 20.0
| 95.5
| £2,538,798
COPD09 3
| 5.0
| 98.9
| £636,566
The table below provides detail on payments associated with different parts of the QOF for 2007-08 and 2008-09. It is based on data for 996 Scottish General Practices that were open in both years and for which detailed comparable payments data are held centrally.
The two QOF indicators that were derived from the 2008-09 GP patient access survey (PE07 and PE08) had between them up to 58.5 QOF points available to each GP practice. This compares with 20 points available for a previous patient experience survey indicator (PE05) included in the 2007-08 QOF. Across 996 Scottish GP practices for which we can directly compare detailed payments information for 2007-08 with 2008-09, payments for this part of the patient experience domain of the QOF increased by approximately £2.5 million.
However, other indicators were removed from the 2007-08 QOF and the points that were previously available for these indicators were redistributed to the new PE07 and PE08 patient survey indicators. Many practices had achieved very high scores against the indicators that were removed, such as the holistic care bonus, which rewarded practices for consistently high achievement against clinical indicators (those covering health conditions such as diabetes, CHD and hypertension). The loss of practice income previously associated with holistic care and other indicators (approximately £4.7 million across the 996 practices compared) was greater than the increase in payments made under the revised patient experience domain of the QOF. This resulted in an overall reduction of approximately £2.2 million in payments to the 996 practices for which detailed comparisons have been made.
Payments for QOF year 2007-081,2
Indicator / Group
| Points Available
| % of Points Achieved
| Total Payment
Indicators/points in 2007-08 but removed for 2008-09
|
|
|
PE05
| 20.0
| 97.4
| £2,574,678
Holistic Care bonus
| 20.0
| 95.5
| £2,538,798
COPD09 3
| 5.0
| 98.9
| £636,566
In the Official Report
No contribution in the Official Report cites S3W-31402 by reference.