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<p>We have reduced the number of indicators in the Quality and Outcomes Framework
(QOF) by more than a third. This is intended to free up time for general practitioners
(GPs) to provide more personalised care which includes the new responsibility of providing
a named GP for all of their patients aged 75 and over. The money released from the
QOF will be reinvested in general practice.</p><p> </p><p>We understand that NHS England
is currently developing the specifications and reporting protocols that will be required
to capture the information provided by the retired QOF indicators.</p><p> </p><p>This
will enable NHS England's commissioning teams, clinical commissioning groups and the
Care Quality Commission to take this information into account in reaching rounded
judgements about the quality of care provided by general practice. It will also be
used to evaluate the impact of the indicators that were retired on 1 April 2014, and
will inform future decisions about the development of QOF.</p><p> </p><p>NHS England
has recently undertaken an analysis to identify ‘outlier' practices – those that will
lose the largest amount of funding per patient as a result of the phasing out of the
Minimum Practice Income Guarantee. Details of these practices have been sent to NHS
England area teams.</p><p> </p><p>In a small number of cases where there are exceptional
underlying factors that necessitate additional funding – for example because a practice
is serving an atypical population - it is anticipated that area teams will meet with
the practices to discuss and agree arrangements to ensure that appropriate services
for patients continue to be available.</p><p> </p>
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