The Welsh government said the move would free up GPs to spend more time with frail elderly patients and those who are chronically sick.
For 2017/18 the clinical domain of QOF in Wales will be split into ‘active QOF’ and ‘inactive QOF’. Some 17 indicators, totalling around 40% of the QOF clinical domain, are now designated as inactive and practices will not be required to demonstrate achievement in these areas. Instead, practices will receive payment for these indicators at the same level as 2016/17 achievement.
The Welsh government said that these indicators either have limited value in managing a patient’s condition, can be monitored through enhanced services or are linked to wider national clinical audits.
Some of the inactive indicators will be subject to peer review during 2017/18 to provide assurance on quality of care, the government added, while other indicators may also be considered for peer review if any specific causes of concern are identified. Funding for peer review of the indicators will be provided via a new indicator in the cluster network domain.
In addition, five clinical indicators worth 40 points are being retired from the QOF and the funding, which equates to around £6,700 for the average practice, will be transferred to the cluster network domain. Details of changes to the cluster network domain can be found below.
The table below shows how the points distribution across the QOF has changed.
|Clinical domain||Cluster network domain||Total|
|QOF points 2016/17||407||160||567|
|Clinical QOF retired||(40)||(40)|
|QOF transfered to cluster network domain||40||40|
The following indicators are retired with the funding moved to the cluster network domain.
|CVD PP 001W
| BP 001W
| HF 005W
| COPD 008W
| Total points removed
The following indicators are now classed as ‘inactive’
|Total inactive QOF||165|
|*These indicators will be subject to peer review during 2017/18 to provide assurance on the quality of care|
Changes to cluster network domain
- CND 002W (cluster network action plan) and CND 003W (implementation and delivery of the cluster network action plan) totalling 50 points have been replaced with CND 009W - develop a three year cluster network plan and monitor cluster network activity - worth 70 points.
- CND 005W (clinical governance) totalling 30 points has been replaced with CND 011W - quality assurance: clinical and information governance and peer review of inactive QOF indicators - totalling 50 points.
- The general practice national priority areas CND 006W (cancer care pathways), CND 007W (improving end-of-life care) and CND 008W (minimising the harms of polypharmacy) totalling 45 points have been replaced with CND 012W - clinical priority pathway areas - totalling 45 points.
- CND 001W (develop a three-year practice development plan and complete a practice sustainability assessment) worth 30 points and CND 010W (agree a cluster network annual report) worth 5 points remain unchanged from 2016/17.
Download the latest guidance
- Download details of the clinical domain of the QOF 2017/18
- Download details of the cluster network domain of the QOF 2017/18, including full details of each indicator