Quality and Outcomes Framework (QOF) - 2013-14
October 2015 : It has been identified that some overall achievement figures were incorrect at region and nation level in the original publication.
We have identified these errors and highlighted in yellow where changes have been made.
These changes are in the following areas: Child Health Surveillance Maternity Quality and Productivity Patient Experience and Overall Achievement
In the following documents: QOF 2013-14: Report for England QOF 2013-14: Annex 1, Report tables and charts QOF 2013-14: Prevalence, achievements and exceptions at region and nation level
No other data in the 2013-14 publication are affected by this issue
Quality and Outcomes Framework (QOF) recorded prevalence, achievement and exceptions data 2013-14.
This publication provides data for the reporting year April 2013 to March 2014 and covers all General Practices in England which participated in the Quality and Outcomes Framework (QOF) in 2013-14. Participation by practices in the QOF is voluntary, though participation rates are very high, with most Personal Medical Services (PMS) practices also taking part. This publication covers data for 7,921 practices in 2013-14.
Previously, the Quality Management and Analysis System (QMAS) was used for the extraction of QOF data. In July 2013, QMAS was replaced by the Calculating Quality Reporting Service (CQRS), together with the General Practice Extraction Service (GPES).
Data are provided at indicator level as set out in the 2013/14 general medical services (GMS) contract quality and outcomes framework.
There have been many changes to QOF coding and indicators. For a summary of these please see the summary of QOF changes for 2013-14. These are referred to throughout this publication. Consideration must be given to changes to indicators and their definitions each year when interpreting differences and comparing data from one year to the next.
Between the 5th June and the 8th August 2014, the HSCIC held a consultation on the publication of the QOF information on achievement, exceptions and recorded prevalence. Changes resulting from this consultation are detailed in this publication on page 10 and via the QOF home page at: www.hscic.gov.uk/qof
31 Oct 2014
Please note: the original "prevalence-all-levels.xlsx" spreadsheet has been replaced because the full list sizes for 2013-14 were incorrect on three of the 24 sheets, and were showing the list sizes of the practice ten rows above. The prevalence rates, age specific list sizes and other calculations were all made using the correct information and have not changed. We apologise for any inconvenience this may have caused.
QOF recorded prevalence
Recorded prevalence for 2013-14 is presented for 7,921 general practices in England. These practices made an end-of-year submission to CQRS.
The highest prevalence rates are in Hypertension (13.7 per cent), Obesity (16+)(9.4 per cent) and Depression (18+) (6.5 per cent)
Hypertension (7.7 million), Obesity (16+) (4.3 million) and Asthma (3.3 million) are the conditions reporting the highest register numbers. This is consistent with previous years
The largest year on year increases are in Osteoporosis (50+) and Cardiovascular Disease. These show increases of 63.2 per cent and 25.7 per cent respectively. These are due to cumulative effects (patients are added onto the register each year) and changes in the QOF indicators; these are detailed in the appropriate sections of the report
Achievement for 2013-14 shows that:
The average achievement score for practices was 831.4 points out of 900. This is 92.4 per cent of the total available compared to 96.7 per cent in 2012-13
The highest achievement percentages were for Obesity (16+) 99.9 per cent, Hypothyroidism, 99.0 per cent and Patient experience, 98.5 per cent
162 practices achieved the maximum of 900 points. In 2012-13 there were 294 practices which achieved the maximum of 1,000 points. Changes to indicators as well as changes to practices partaking in QOF are likely to be the main contributors to this decrease
Exceptions for 2013-14 show that:
The average exception rate across all relevant indicators is 4.1 per cent
The group with the largest number of exceptions is Mental health and neurology at 14.4 per cent overall
PLEASE NOTE: The spreadsheet containing all the practice level data is extremely large (115MB). It has not been added to the list of documents within this publication for this reason. We have split the information across a number of spreadsheets and zipped them as appropriate.