What is qof

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. The percentage of male patients with diabetes who have a record of erectile dysfunction with a record of advice and assessment of contributory factors and treatment options in the preceding 15 months. The percentage of male patients with diabetes with a record of being asked about erectile dysfunction in the preceding 15 months.

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. Filter by indicator area: All Asthma Atrial fibrillation Blood pressure Cancer Cardiovascular disease — primary prevention Cervical screening Child health surveillance Chronic kidney disease Chronic obstructive pulmonary disease Contraception Coronary heart disease Dementia Depression Diabetes mellitus Epilepsy Heart failure Hypertension Hypothyroidism Immunisation Learning disabilities Maternity Mental health Obesity Osteoporosis: secondary prevention of fragility fracture Palliative care Peripheral arterial disease Rheumatoid arthritis Secondary prevention of coronary heart disease Sexual health Smoking Stroke and transient ischaemic attack.

Blood pressure The percentage of patients aged 40 years and over with a blood pressure measurement recorded in the preceding 5 years View indicator details NICE id code: NM Cancer The percentage of patients with cancer diagnosed within the preceding 15 months who have a review recorded as occurring within 3 months of the practice receiving confirmation of the diagnosis View indicator details NICE id code: NM The percentage of patients on the CKD register who have hypertension and proteinuria and who are currently being treated with an angiotensin-receptor blocker or an angiotensin-converting enzyme inhibitor View indicator details NICE id code: NM 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 View indicator details NICE id code: NM Contraception 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 View indicator details NICE id code: NM The percentage of patients with coronary heart disease who have had influenza immunisation in the preceding 1 August to 31 March View indicator details NICE id code: NM 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 View indicator details NICE id code: NM The QOF register definition applies to people with an initial event; paroxysmal intermittent ; persistent and permanent atrial fibrillation.

Note that this register was introduced to the QOF in April so that there are now eleven years of comparable data. National prevalence rates in Scotland remained constant at 1.

There has been a slight increase to 1. The QOF prevalence statistics provided are based on all cancers. Crude non age-adjusted national prevalence reported under the QOF has increased from 0. Because of the date cut-off in the definition of the register, this rise primarily reflects the cumulative accrual of new cancer cases onto practice registers with each passing year and does not provide information about any true increase in cancer prevalence.

Further information on the occurrence of cancer in Scotland is available on the following websites:. It remained at 4. Those whose kidney function is assessed at stage based on this test are eligible for inclusion on the register. Note that this register was introduced to the QOF in April so data are only available for six years. Unfortunately, in some areas there were delays in introducing eGFR testing and as a result fewer patients than expected were included on CKD registers. Further increases to 3.

Further information on the occurrence of chronic kidney disease in Scotland is available on the following website:. Prevalence remained at 2. The definition of this indicator applies to all people diagnosed with dementia either directly by the GP or through referral to secondary care. This register was introduced in April and there are no directly comparable statistics available for previous years. The second indicator relates to any patient newly diagnosed with depression since the preceding 1st April e.

Both of the depression indicators were introduced to the QOF in April and there are no directly comparable statistics available for previous years in either case.

The indicator measures whether patients with either or both of these conditions have been assessed for depression. Nationally, 7. This rose to 7. This rise is largely due to a rise in the prevalence figures for diabetes over the same time period from 3. The remaining register for depression previously known as depression 2 counts patients with newly diagnosed depression. The indicator then measures whether the severity of the depression has been assessed using an assessment tool validated for use in primary care.

An unusual feature has been noted within the technical business rules that define how clinical IT systems should count the register sizes for this indicator. Although the measurement of achievement against this indicator excludes patients diagnosed prior to the preceding 1st April e.

For some practices with a long history of recording depression electronically in the clinical record and where the depression is not recorded as having been resolved , a larger register size will be reported in comparison to an otherwise equivalent practice that has not been recording depression cases electronically over as long a time period.

These increases will, at least in part, be due to the cumulative nature of this register. This increased to 5.

The figure increased again to 6. These increases are due, in part, to the cumulative nature of this register. Although indicators related to Diabetes Mellitus have existed in the QOF since April , there has been a change in the selection criteria for counting patients on QOF diabetes registers. Since April , the definition includes all patients aged 17 years and over with diabetes mellitus defined by clinical Read codes specific to Type 1 or Type 2 diabetes.

Previously there was a wider range of codes accepted under the definition although the age constraint has remained consistent. It should also be noted that QOF prevalence rates use the whole practice population as their denominator, and in the case of diabetes do not exclude patients aged less than 17, even though the register itself is age limited.

This has the effect of artificially lowering the prevalence rate, so that the prevalence rates for diabetes reported through the QOF are an underestimate of the true prevalence.

The extent of the underestimate depends on the size of the practice population under 17 years. This gradual increase over the past few years may be due, at least in part, to improved case ascertainment by practices, but it is consistent with the increase in the prevalence of type 2 diabetes in Scotland reported elsewhere.

It should be further noted that although the practice must record whether the patient has Type 1 or Type 2 diabetes, this level of detail is not recorded within QMAS or QOF Calculator the national IT systems that support the calculation of QOF achievements and payments.

Therefore the register size or prevalence rate cannot be split by type of diabetes. Further information on the occurrence of diabetes in Scotland is available on the following websites:. Patients with Heart Failure counts all patients coded by general practices as having heart failure.

Patients with Heart Failure were previously included on two QOF registers, one of which is a subset of the other. The first of these registers counts all patients coded by general practices as having heart failure. This register, and accompanying indicators, was introduced to the QOF in April The second register counts the subset of patients who have heart failure and left ventricular dysfunction LVD. LVD was a subset of CHD in previous years, but all these patients are now counted under heart failure registers.

The final national prevalence figure for was This increase may be due, at least in part, to improved case ascertainment by practices over time. However the risk of hypertension rises sharply with age and the figures are likely to reflect a real increase in the numbers of people with hypertension in Scotland, a country with a rising proportion of older people.

Further information on the occurrence of hypertension in Scotland is available on the following websites:. Although indicators for Mental Health have existed in the QOF since April , there has been a change in the selection criteria used to count patients on QOF mental health registers. Since April , the definition has included only patients with serious mental illness, defined as schizophrenia, bipolar affective disorder or other psychoses.

Previously, patient selection was based on more a more generalised set of mental health conditions and on the further condition that the patient required, and had consented to, regular follow-up. Further information on the occurrence of mental health problems in Scotland is available on the following websites:.

Introduced in April for patients aged 50 and over who have been recorded with fragility fracture after 1st April. The latest results include prevalence only. The sample of the output chart below shows the results for some of the clinical indicator groups for an individual GP practice. The results for previous years are presented in the chart, which also displays the year's Clinical Commissioning Group CCG and England averages. Similar charts are available for the total achievement results, the individual domain results and the underlying achievement details for the individual indicators within each indicator group.

You can use this specially designed website to make specific searches on achievement for years prior to in the following ways:. For the reporting year, this functionality is restricted to disease prevalence only.

The majority of QOF indicators were income protected i. These changes mean that indicator data may be inaccurate for the reporting year, and comparisons with data from previous years would be misleading. Therefore, for the reporting year, this website includes prevalence data only; they are available in the.

General enquiries enquiries nhsdigital. Press office only media nhsdigital. Understanding the results. Clinical Prevalence:.