Longitudinal evaluation of a countywide alternative to the Quality and Outcomes Framework in UK General Practice aimed at improving Person Centred Coordinated Care.

ABSTRACT:

Objectives

To evaluate a county-wide deincentivisation of the Quality and Outcomes Framework (QOF) payment scheme for UK General Practice (GP).

Setting

In 2014, National Health Service England signalled a move towards devolution of QOF to Clinical Commissioning Groups. Fifty-five GPs in Somerset established the Somerset Practice Quality Scheme (SPQS)-a deincentivisation of QOF-with the goal of redirecting resources towards Person Centred Coordinated Care (P3C), especially for those with long-term conditions (LTCs). We evaluated the impact on processes and outcomes of care from April 2016 to March 2017.

Participants and design

The evaluation used data from 55 SPQS practices and 17 regional control practices for three survey instruments. We collected patient experiences

SUBMITTER: Close J 

PROVIDER: S-EPMC6661675 | biostudies-literature | 2019 Jul

REPOSITORIES: biostudies-literature