The Quality and Outcomes Framework: QOF - Transforming General Practice / Edition 1

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More About This Textbook


The Quality and Outcomes Framework has deeply divided UK general practitioners. I commend this book and applaud its determination to scrutinise every aspect of the Quality and Outcomes Framework - good and bad and in-between.

General practice in the UK faces transformation following the introduction of the Quality and Outcomes Framework (QOF), a pay-for-performance scheme unprecedented in the NHS, and the most comprehensive scheme of its kind in the world. Champions claim the QOF advances the quality of primary care; detractors fear the end of general practice as we know it.

The introduction of the QOF provides a unique opportunity for research, analysis and reflection. This book is the first comprehensive analysis of the impact of the QOF, examining the claims and counter-claims in depth through the experience of those delivering the QOF, comparisons with other countries, and analysis of the wealth of research evidence emerging.

Assessments of the true impact of the QOF will influence the development of health services in the UK and beyond. This book is essential reading for anyone with an interest in the future of general practice and primary care, including health professionals, trainers, students, MRCGP candidates and researchers, managers, and policy makers and shapers.

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Product Details

  • ISBN-13: 9781846194566
  • Publisher: Radcliffe Publishing
  • Publication date: 10/1/2010
  • Edition number: 1
  • Pages: 170
  • Product dimensions: 6.70 (w) x 9.60 (h) x 0.60 (d)

Table of Contents

Foreword vii

About the editors ix

List of contributors x

List of figures xiii

List of tables xiii

List of boxes xiv

Part I Background to the Quality and Outcomes Framework

1 Introduction: development, impact and implications Steve Giilam A Niroshan Siriwardena 3

2 Where did the Quality and Outcomes Framework come from? Martin Roland 8

3 Developing indicators and the concept of QOFability Stephen Campbell Helen Lester 16

Part II Impact of the Quality and Outcomes Framework

4 A Learning from the QOF: a review of existing research Nicholas Steel Sara Willems 31

5 The public health impact Anna Dixon Artak Khachatryan Tammy Boyce 70

6 'Smoke and mirrors'? Informatics opportunities and challenges Maria Kordowicz Mark Ashworth 82

7 The impact of the QOF on practice organisation and service delivery Kath Checkland Stephen Harrison 93

Part III Practical aspects of the Quality and Outcomes Framework

8 Getting the most out of the QOF Chantal Simon Anna Morton 111

9 Does the patient always benefit? Patricia Wilkie 128

Part IV Reflections on pay-for-performance and the Quality and Outcomes Framework

10 Pay-for-performance schemes in primary care: what have we learnt? Stephen Peckham Andrew Wallace 137

11 An international perspective on the basis of pay-for-performance Barbara Starfield Dee Mangin 147

12 The Quality and Outcomes Framework: triumph of evidence or tragedy for personal care? Steve Gillam A Niroshan Siriwardena 156

Index 167

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