The Quality and Outcomes Framework

The Quality and Outcomes Framework : QOF - Transforming General Practice

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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. - From the Foreword by Iona Heath General practice in the UK faces transformation following the introduction of the Quality & 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 QOF, comparisons with other countries, and analysis of the wealth of research evidence emerging. Assessments of the true impact of 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

  • Paperback | 184 pages
  • 170 x 246 x 14mm | 439.98g
  • Taylor & Francis Ltd
  • Radcliffe Publishing Ltd
  • London, United Kingdom
  • English
  • black & white tables, figures
  • 1846194563
  • 9781846194566
  • 2,143,183

About Niro Siriwardena

respectively General Practitioner, Luton and Consultant in Public Health, Cambridge; Foundation Professor in Primary Care, University of Lincoln

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Table of contents

Part I: Background to the Quality and Outcomes Framework * Introduction: development, impact and implications * Where did the Quality and Outcomes Framework come from? * Developing indicators and the concept of Qofability * Part II: Impact of the Quality and Outcomes Framework * Learning from the QOF: a review of existing research * The public health impact * Smoke and Mirrors'? Informatics opportunities and challenges * The impact of the QOF on practice organisation and service delivery. * Part III: Practical aspects of the Quality and Outcomes Framework * Getting the most out of the QOF * Does the patient always benefit? * Part IV: Reflections on Pay for Performance and the Quality and Outcomes Framework * Pay for performance schemes in primary care: what have we learnt? * An international perspective on the basis for payment-for-performance * Conclusion: The Quality and Outcomes framework - triumph of evidence or tragedy for personal care?

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