Prevalence is a key element of QOF. The value of a QOF point is directly linked to your practice’s chronic disease prevalence, the burden of a disease on the practice.
Prevalence data is extracted from every practice, an average for each disease is then calculated based on the practice list size (31st December each year) and disease prevalence (31st March each year) and displayed as a percentage.
The 3 examples for diabetes below are based on England 2015/15 figures:
|List Size||Practice list size £ per point (average)||Practice Prevalence||National Prevalence||Practice adjusted £ per point (actual)|
|A - 10,316||£228.41||4.73%||6.20%||£174.28|
|B - 4,484||£99.26||6.85%||6.20%||£109.62|
|C - 6,100||£135.04||4.83%||6.20%||£95.33|
Practice B has a higher practice prevalence than the national average so the burden of diabetes on this practice is greater. Therefore, each QOF point achieved for diabetes will result in an actual payment of £109.62 per point rather than an average payment of £99.26 per point.
Practice A & C both have a lower practice prevalence than the national average so the burden of diabetes on this practice is less. Therefore, for practice A each QOF point achieved for diabetes will result in an actual payment of £174.28 per point rather than an average payment of £228.41 per point. If practice A achieves all 86 points for diabetes but their register is not accurate, compared to the national average, they could be losing £4,655 per annum for diabetes alone.
This demonstrates how important accurate QOF disease registers are – Insight are so confident about increasing practice income and patient care and safety, our on-site QOF register optimisation service comes with a 100% money-back guarantee! For more information click here.