The key changes are:
- recycling 58.5 Quality and Outcomes Framework (QOF) points to incentivise access (48 hour and advanced booking) based on patient satisfaction. This will be measured by the new national patient survey
- a small number of changes to the evidence base for some existing indicators
The agreed changes to the Quality and Outcomes Framework (QOF) for 2008/09 are outlined in the detailed guidance document. NHS Employers has also produced a brief overview of the changes for PCTs.
Changes to financial and accounting arrangements for QOF 2008/09
National Prevalence Day
This will move to the 31 March from 31 March 2009 onwards, so that prevalence is calculated on the same basis as disease registers for indicator denominators.
Calculating year-end payments
The deadline for year-end achievement payments will be extended to the end of the first quarter of the financial year, following the year in question. This is to give PCTs more than one month to carry out appropriate pre-payment verification checks. To compensate for any effect on cash-flow for contractors, aspiration payments made during 2008/09 will increase from 60% to 70% of achievement in 2007/08.
Calculating QOF payments for mid year practice splits
Currently, if a contract ends mid-year, there is no procedure in the Statement of Financial Entitlements (SFE) for adjusting the payment for prevalence until the end of the financial year. The negotiating partners have agreed to give PCTs the flexibility to cash up on the date that the original contract ceased. PCTs should follow the procedure set out in Delivering Investment in General Practice (chapter 3, section F, paragraph 3.64). The achievement payment made at the end of the original contract would be adjusted for prevalence on the basis of the previous year's prevalence. If there is no previous year figure, then the payment would not be adjusted by prevalence.