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QOF

QOF 2015/16

As we begin another QOF year, there are a few fundamental changes to be aware of for 2015/16.

The QOF point value for England has increased to £160.15 with the average practice population increasing to 7,233. Essentially, this has created a 2% uplift in the QOF point value from £156.92 to £160.15. The Contractor Population Index (CPI) has also been adjusted due to the 2.57% increase in the average practice list size, whilst the number of clinical domain points available will remain at 435.

This loss of £434.00 is due to the average population increasing to 7,233 giving a CPI of (7052/7233=0.975).

The revised QOF indicators for 2015/16 have seen key changes occurring in the clinical domains of Atrial Fibrillation (AF), Coronary Heart Disease (CHD), Chronic Kidney Disease (CKD) and Dementia.

Atrial Fibrillation:

  • 29 QOF points available in 2015/16 (vs 17 in 2014/15).
  • 12 extra QOF points, which is £1,922 in additional income for an average practice.
  • No CHADS2 requirement.
  • CHA2DS2VASc will become a mandatory risk assessment tool.
  • Patients with a CHA2DS2VASc score of >1 will require anticoagulation therapy.
  • Antiplatelet therapy will no longer be rewarded.

Chronic Heart Disease:

  • 35 QOF points available in 2015/16 (vs 45 in 2014/15) with an average loss of £1,602.
  • 10 points lost due to the retired quadruple therapy following Myocardial infarction (MI) indicator.
  • The CHD register value for an average practice will be £5,605 (vs £7,061 in 2014/15).

Chronic Kidney Disease:

  • 6 QOF points available in 2015/16 (vs 32 in 2014/15) with an average loss of £4,164.
  • All 6 points available are for the CKD register – no other clinical work will be required.
  • The CKD register value for the average practice will be £961 (vs £5021 in 2014/15).

Dementia:

  • 50 QOF points available in 2015/16 (vs 26 in 2014/15) worth an average of £8,008.
  • 24 extra QOF points, which is £3,844 in additional income for an average practice.
  • The extra 24 points can be achieved by performing face to face reviews, as specified within the DEM002 indicator.
  • Revision of time frame to DEM003 indicator.
  • To find out about more about the 2015/16 QOF year, and how your practice can maximise their QOF achievement with the Interface QOF Enhancement Service, please visit our QOF page.

QOF Disease Prevalence Coding Support


Our Clinical Pharmacists are now able to offer coding support across a number of QOF domains

Find out more