Bramwell, Donna, Peckham, Stephen, Hotham, Sarah, Checkland, Kath, Forbes, Lindsay (2022) Evaluation of the introduction of QOF quality improvement modules in English general practice: Early findings from a rapid, qualitative exploration of implementation. BMJ Open Quality, . E-ISSN 2399-6641. (doi:10.1136/bmjoq-2022-001960) (KAR id:96962)
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Official URL: http://dx.doi.org/10.1136/bmjoq-2022-001960 |
Abstract
Background A 2018 review of the English primary care
pay-for-
performance
scheme, the Quality and Outcomes
Framework, suggested that it should evolve to better
support holistic, patient-centred
care and leadership for
quality improvement (QI). From 2019, as part of the vision
of change, financially incentivised QI cycles (initially in
prescribing safety and end-of-
life
care), were introduced
into the scheme.
Objectives To conduct a rapid evaluation of general
practice staff attitudes, experiences and plans in relation
to the implementation of the first two QI modules. This
study was commissioned by NHS England and will inform
development of the QI programme.
Methods Semistructured telephone interviews were
conducted with 25 practice managers from a range of
practices across England. Interviews were audio recorded
with consent and transcribed verbatim. Anonymised
data were reflexively thematically analysed using the
framework method of analysis to identify common themes
across the interviews.
Results Participants reported broadly favourable views
of incentivised QI, suggesting the prescribing safety
module was easier to implement than the end-of-
life
module. Additional staff time needed and challenges of
reviewing activities with other practices were reported
as concerns. Some highlighted that local flexibility and
influence on subject matter may improve the effectiveness
of QI. Several questioned the choices of topic, recognising
greater need and potential for improving quality of care in
other clinical areas.
Conclusion Practices supported the idea of financial
incentivisation of QI, however, it will be important to ensure
that focus on QI cycles in specific clinical areas does not
have unintended effects. A key issue will be keeping up
momentum with the introduction of new modules each
year which are time consuming to carry
Item Type: | Article |
---|---|
DOI/Identification number: | 10.1136/bmjoq-2022-001960 |
Subjects: | R Medicine > RZ Other systems of medicine |
Divisions: | Divisions > Division for the Study of Law, Society and Social Justice > School of Social Policy, Sociology and Social Research > Centre for Health Services Studies |
Depositing User: | Lindsay Forbes |
Date Deposited: | 16 Sep 2022 18:37 UTC |
Last Modified: | 04 Jul 2023 13:03 UTC |
Resource URI: | https://kar.kent.ac.uk/id/eprint/96962 (The current URI for this page, for reference purposes) |
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