Anna Dixon: Impact of Quality and Outcomes Framework on health and health inequalities
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Dr Anna Dixon, Head of Policy at The King's Fund, discusses the findings from our report on the Quality and Outcomes Framework. Note: This project was funded by the National Institute for Health Research Service Delivery and Organisation programme (project number 08/1716/207). The views and opinions expressed therein are those of the authors and do not necessarily reflect those of the NIHR SDO programme or the Department of Health.
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Anna Dixon: Impact of Quality and Outcomes Framework on health and health inequalities
- 1. Impact of Quality and Outcomes Framework on health inequalities Anna Dixon Director of Policy, The King’s Fund April 2011
- 2. Objectives of the research explore differences in practice performance on clinical indicators within QOF identify the potential for the QOF to support the delivery of national health inequalities targets.
- 3. Key findings differences in performance by deprivation impact on population health practice characteristics exception reporting case finding.
- 4. Small & significant differences least deprived practices in SH and non SH PCTs.
- 5. No significant differences deprived practices in SH and non SH PCTs.
- 6. Impact on population health relationships between higher performance on QOF in specific clinical domains and the standardised rates of ACS hospital admissions generally higher levels of achievement associated with lower hospital admission rates, but strength and significance vary by condition how this relationship varies by area and practice deprivation
- 7. Summary of findings CHD and diabetes Stroke, CHF and hypertension COPD Asthma
- 8. Practice characteristics Barriers to monitoring and reporting activities? Relationship between well-resourced practices and high QOF achievement?
- 9. Exception reporting across practices in England (2005/6) by income quintile
- 10. Implications align QOF to reduce health inequalities reward deprived practices for meeting needs of population reward population outcomes link rewards to improvements not achievement of absolute thresholds encourage practices to reach out to individuals consider limiting practices’ ability to exempt patients who do not attend.