A2. Quality and Outcomes Framework

Developer: 

British Medical Association (BMA), National Health Services Confederation (NHS)

Purpose: 

The Quality and Outcomes Framework rewards practices for the provision of “quality care” and helps to fund further improvements in the delivery of clinical care. 

Date: 

March 2009

Relevant submeasures: 

  1. Dementia: the practice can produce a register of patients diagnosed with dementia
  2. Education: the practice has undertaken a minimum of twelve significant event reviews in the past 3 years which could include any death occurring in the practice premises; new cancer diagnoses; deaths where terminal care has taken place at home; any suicides; admissions under the Mental Health Act; child protection cases; medication errors; a significant event occurring when a patient may have been subjected to harm, had the circumstance/outcome been different (near miss).
  3. Mental health: the percentage of patients on the mental health register who have a comprehensive care plan documented in the records agreed between individuals, their family and/or carers as appropriate.

Format/data source: 

Documentation of organizational self-assessment.

Development and testing: 

Unspecified 

Past or validated applications: 

  • Setting: Ambulatory/office-based care
  • Population: Primary care providers
  • Level of evaluation: Clinical practice, or individual or groups of health care professionals.

Sources: 

Notes: 

Additional information can be found on the British Medical Association Web site available at:

http://bma.org.uk/practical-support-at-work/contracts/independent-contractors/qof-guidance