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End-of-year checklist for GP practices

A round-up of what practices in England need to do by the end of March 2018.

1. QOF

Make sure clinicians are checking your QOF calculator regularly and either actioning alerts or calling in patients, particularly for the big QOF areas (diabetes, CHD, asthma) and for the high value, low number targets e.g cancer reviews within six months' of diagnosis.  

Each clinical system is slightly different but will have a suite of reports to help you maximise your achievement under QOF.  

Remind receptionists to check QOF alerts for any patients that appear at the desk.

You could also ask one person to look at the appointment lists for the next day to check what QOF data is needed and highlight this in the appointment reason. Depending on reception capacity, turn off the automated check in and get the information you need from patients when they are at the desk - or book appointments if needed. Only do this on days when you have a full complement of staff!

2. Enhanced services

The following enhanced services apply this year:

The same requirements for all of these services apply as last year, so it is the usual end of year returns for these. Click on the links above to full details of each ES requirement.

It is also now a contractual requirement this year to identify and manage patients with frailty (this replaced the unplanned admissions enhanced service). Full details of what this involves are here.

3. Vaccinations and Immunisations

The following Immunisations have an associated enhanced service:

  • Childhood Immunisations
  • Hep B for newborn babies
  • MMR for those aged 16 and over
  • Rotavirus
  • Pertussis (pregnant women)
  • Childhood influenza
  • Meningitis ACWY
  • Seasonal flu
  • Pneumococcal
  • Shingles
  • HPV booster vaccination
  • Men C booster vaccination
  • Men B vaccination

Now is the time to start running searches to make sure you have the numbers needed for any end of year claims, all claims are via CQRS apart from childhood vaccinations.

4. Other local service contracts/CCG targets

Make sure you have reached any targets required for other local contracts and submitted data as apppropriate.

5. Other contractual requirements

  • Practices must have signed up to the National Diabetes Audit – this can usually be switched on from within your clinical system, so check with your system supplier.
  • Submission of workforce minimum data set.
  • Access to healthcare – change to registration process for overseas visitors accessing healthcare. From October 2017, practices have been required to provide all new patients registering with them with a revised GMS1form.
  • Named GP - new patients should be routinely allocated a named GP within 21 days of registration.
  • Friends and Family Test - ensure that monthly returns are submitted via CQRS.
  • Alcohol risk reduction - all newly registered patients aged 16 or over should be asked about their drinking habits and offered interventions as appropriate.
  • PPG - have you got records of your PPG meetings, details of any suggestions made and evidence that you have acted on these?
  • Publication of earnings - the details of GP earnings on your website need to be updated to reflect earnings for 2016/2017

6. Other things to check

  • Payroll year-end
  • Pension year-end
  • Information Governance Toolkit submissions
  • NHS Health Checks
Fionnuala O'Donnell is a practice manager in Ealing, West London, and a CCG board member.

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