Quality and Outcomes Framework Assessor Training

1. Quality and Outcomes Framework Assessor Training Collecting and Analysing Data Module S4

2. DATA INFORMATION KNOWLEDGE WISDOM

3. QOF Review Data Collection • 75% is automatically collected by QMAS • 25% requires practice and PCT co-operation • Written Evidence • Observation/Interview of Practice Staff • Inspection of Equipment/Materials • Inspection of Clinical Records

4. Written Evidence • The practice supports smokers in stopping smoking by a strategy which includes providing literature and offering appropriate therapy. (Information 5) • The practice has undertaken a minimum of six significant event reviews in the past 3 years. (Education 2) • Person specifications and job descriptions are produced for all advertised vacancies. (Management 6)

5. Observation/Interview of Practice Staff • The practice has a system for transferring and acting on information about patients seen by other doctors out of hours. (Records 3) • The practice has a system to allow patients to contact the out-of-hours service by making no more than two telephone calls. (Information 1) • All practice-employed nurses have an annual appraisal. (Education 3) • There are clearly defined arrangements for backing up computer data, back-up verification, safe storage of back-up tapes and authorisation for loading programmes where a computer is used. (Management 2)

6. Inspection of Equipment or Materials • The practice possesses the equipment and in-date emergency drugs to treat anaphylaxis. (Medicines 2) • The arrangements for instrument sterilisation comply with national guidelines as applicable to Primary Care. (Management 4) • The practice has systems in place to ensure regular and appropriate inspection, calibration, maintenance and replacement of equipment including:  - A defined responsible person - Clear recording - Systematic pre-planned schedules - Reporting of faults (Management 7)    

7. Inspection of Clinical Records • Each patient contact with a clinician is recorded in the patient’s record, including consultations, visits and telephone advice. (Records 1) • The records, hospital letters and investigation reports are filed in date order or available electronically in date order. (Records 14) • The percentage of patients with cancer diagnosed from 1 April 2003 with a review by the practice recorded within six months of confirmed diagnosis. This should include an assessment of support needs, if any, and a review of coordination arrangements with Secondary Care. (Cancer 2)

8. Additional Data • Prescribing (PPA) • Hospital Activity (HES) • Patient Survey • Mortality Data (ONS) All these data streams are currently available to PCTs and are used regularly by their staff

9. Interim Aspiration ScoresMax 1050 points

10. CHDMax 121 points

11. Cholesterol <5 mmol/lTarget 60% - 16 points

12. Lipid-Lowering DrugsItems per STAR-PU

13. CHD on Anti-PlateletTarget 90% - 7 points

14. Anti-Platelet DrugsItems per STAR-PU

15. Acute MI Admissionsper 1,000 Registered

16. Angina Admissionsper 1,000 Registered

17. PTCA or CABGper 1,000 Registered

18. Retinal ScreeningTarget 90% - 5 points

19. COPDMax 45 points

20. Oxygen PrescribingItems per 1,000 Registered

21. J40-J44 - COPDNon-Elective Last FCEs XYZ PCT discharge dates between January and December 2003 (Number of Discharges per 1000 List Size)

22. Organisational IndicatorsMax 184 points

23. Records & InformationMax 85 points

24. Access Bonus50 points

25. Patient SurveyRoutine Appointment Same Day Or Next

26. Some Words Of Wisdom • Local knowledge essential • Look at the whole picture • Beware small numbers in small practices • Offer help not criticism • Ongoing conversation between practices and PCT • The reality of the coalface • Engage with the enthusiasm the practices will have to improve the care delivered to their patients