Revisions to QOF Organisational Points 2006

© Martin Breach

Haydock Medical Centre

                                 

 

 

2006

2004-5

Records and information

87

85

Information for patients

5.5

8

Education and training

31

29

Clinical and practice management 

17.5

20

Medicines management

40

 

 

 

 

Records and information about patients: 87 points

 

The following items have been deleted:

 

Records 1
1 point

Each patient contact with a clinician is recorded in the patient’s record, including consultations, visits and telephone advice

Records 2
1 point

Entries in the records are legible

Records 4
1 point

There is a reliable system to ensure that messages and requests for visits are recorded and that the appropriate doctor or team member receives and acts upon them

Records 5
1 point

The practice has a system for dealing with any hospital report or investigation results which identifies a responsible health professional and ensures that any necessary action is taken

Records 6
1 point

There is a system for ensuring that the relevant team members are informed about patients who have died

Records 7
1 point

The medicines that a patient is receiving are clearly listed in their record

Records 10
6 points

The smoking status of patients age 15 – 75 is recorded for at least 55 per cent of patients (replaced by records 22)

Records 12
2 points

When a member of the team prescribes a medicine other than a non-medicated dressing, topical treatment or OTC medicine there is a mechanism for that prescription to be entered into the patient’s general practice record

Records 14
3 points

The records, hospital letters and investigation reports are filed in date order or available electronically in date order

Records 16
5 points

The smoking status of patients age 15 – 75 is recorded for at least 75 per cent of patients (replaced by Records 22)

 

 

Records 3 - 1 point
The practice has a system for transferring and acting on information about patients seen by other doctors out of hours

Records 8 - 1 point

There is a designated place for the recording of drug allergies and adverse reactions in the notes and these are clearly recorded

Records 9 - 4 points

For repeat medicines, an indication for the drug can be identified in the records (for drugs added to the repeat prescription with effect from 1 April 2004). Minimum Standard 80%

Records 11 - 10 points

The blood pressure of patients aged 45 and over is recorded in the preceding 5 years for at least 65% (previously 55%) of patients

Records 13 - 2 points

There is a system to alert the out-of-hours service or duty doctor to patients dying at home

           

Records 15 - 25 points

The practice has up-to-date clinical summaries in at least 60% of patient records


Records 20 - 12 points

The practice has up-to-date clinical summaries in at least 70% of patient records

           

Records 18 - 8 points
The practice has up-to-date clinical summaries in at least 80% of patient records

 

Records 19 - 7 points
80% of newly registered patients have had their notes summarised within 8 weeks of receipt by the practice

 

Records 17 - 5 points
The blood pressure of patients aged 45 and over is recorded in the preceding 5 years for at least 80% (previously 75%) of patients

Records 21 - 1 point

Ethnic origin is recorded for 100% of new registrations


Records 22 - 11 points

The percentage of patients aged over 15 years whose notes record smoking status in the past 27 months, except those who have never smoked where smoking status need be recorded only once (payment stages 40 – 90%)

 

 

Patient communication  5.5 points

 

 

 

The following 4 items are withdrawn

Information 1
0.5 points

The practice has a system to allow patients to contact the out-of-hours service by making no more than two telephone calls

Information 2
0.5 points

If an answering system is used out of hours, the message is clear and the contact number is given at least twice

Information 6
0.5 points

Information is available to patients on the roles of the GP, community midwife, health visitor and hospital clinics in the provision of ante-natal and post-natal care

Information 8
1 point

The practice has a system to allow patients to contact the out-of-hours service by making no more than one telephone call

 

 

Information 3
1 point

The practice has arrangements for patients to speak to GPs and nurses on the telephone during the working day

Information 4
1 point

If a patient is removed from a practice’s list, the practice provides an explanation of the reasons in writing to the patient and information on how to find a new practice, unless it is perceived such an action would result in a violent response by the patient

Information 5
2 points

The practice supports smokers in stopping by a strategy, which includes providing literature and offering appropriate therapy

Information 7
1.5 points

Patients are able to access a receptionist via telephone and face to face in the practice, for at least 45 hours over 5 days, Monday to Friday except where agreed with the PCO

 

 

Education and Training: 31 points

 

Education 3 withdrawn (2 points): ’All practice-employed nurses have an annual appraisal’


Education 1 - 4 points

There is a record of all practice-employed clinical staff having attended training/updating in basic life support skills in the preceding 18 months

Education 4 - 3 points

All new staff receive induction training

Education 5 - 3 points

There is a record of all practice-employed staff having attended training/updating in basic life support skills in the preceding 36 months

Education 6 - 3 points

The practice conducts an annual review of patient complaints and suggestions to ascertain general learning points which are shared with the team

 

Education 7 - 4 points
The practice has undertaken a minimum of twelve significant event reviews in the past 3 years which could include:

         Any death occurring in the practice premises

         New cancer diagnoses

         Deaths where terminal care has taken place at home

         Any suicides

         Admissions under the Mental Health Act

         Child protection cases

         Medication errors

 

Education 8 - 5 points

All practice-employed nurses have personal learning plans which have been reviewed at annual appraisal

 

Education 9 - 3 points

All practice-employed non-clinical team members have an annual appraisal

 

Education 10 - 6 points

The practice has undertaken a minimum of three significant event reviews within the last year (previously Education 2, six in the last three years)

 

 

Practice Management

 

Management 1
1 point

Individual healthcare professionals have access to information on local procedures relating to child protection
 

Management 2
1.5 points

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 3
0.5 points

The Hepatitis B status of all doctors and relevant practice employed staff is recorded and immunisation recommended if required in accordance with national guidance

Management 4
1 point

The arrangements for instrument sterilisation comply with national guidelines as applicable to primary care
 

Management 5
3 points

The practice offers a range of appointment times to patients which as a minimum should include morning and afternoon appointments five mornings and four afternoons per week except where agreed with the PCO

Management 6
2 points

Person specifications and job descriptions are produced for all advertised vacancies

Management 7
3 points

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 8
1 point

The practice has a policy to ensure the prevention of fraud and has defined levels of financial responsibility and accountability for staff undertaking financial transactions (accounts, payroll, drawings, payment of invoices, signing cheques, petty cash, pensions, superannuation etc)
 

Management 9
3 points

The practice has a protocol for the identification of carers and a mechanism for the referral of carers for social services assessment
 

Management 10
4 points

There is a written procedure manual that includes staff employment policies including equal opportunities, bullying and harassment and sickness absence (including illegal drugs, alcohol and stress) to which staff have access

 

 

 

Medicines Management , 40 points

 

Medicines 1, withdrawn: Details of prescribed medicines are available to the prescriber at each surgery consultation. 2 points

 

Medicines 2 - 2 points

The practice possesses the equipment and in-date emergency drugs to treat anaphylaxis

Medicines 3 - 2 points

There is a system for checking the expiry dates of emergency drugs on at least an annual basis

Medicines 4 - 3 points

The number of hours from requesting a prescription to availability for collection by the patient is 72 hours or less (excluding weekends and bank/local holidays)

Medicines 6 - 4 points

The practice meets the PCO prescribing adviser at least annually and agrees up to three actions related to prescribing

Medicines 7 - 4 points

Where the practice has responsibility for administering regular injectable neuroleptic medication, there is a system to identify and follow up patients who do not attend

Medicines 8 - 6 points

The number of hours from requesting a prescription to availability for collection by the patient is 48 hours or less (excluding weekends and bank/local holidays)

Medicines 10 - 4 points

The practice meets the PCO prescribing adviser at least annually, has agreed up to three actions related to prescribing and subsequently provided evidence of change

Medicines 11 - 7 points

A medication review is recorded in the notes in the preceding 15 months for all patients being prescribed four or more repeat medicines (previously excluded OTC and topical medicines). Standard 80%

Medicines 12- 8 points

A medication review is recorded in the notes in the preceding 15 months for all patients being prescribed repeat medicines. (previously excluded OTC and topical medicines). Standard 80%