Table 1

QI modules 2019/2020 – activity requirements

Prescribing safety
37 points available
(27 points for activity
10 points for network activity)
Demonstrate continuous QI activity focused on prescribing safety as specified in the QOF guidance and lead to improvements in the following aspects:
  • Reduce the rate of potentially hazardous prescribing, focus on the safer use of non-steroidal anti-inflamatory drugs (NSAIDs) in patients at significant risk of complications such as gastrointestinal bleeding.

  • Better monitoring of potentially toxic medications and the creation of safe systems to support drug monitoring through a focus on lithium prescribing (or another agreed medication if no patients on the registered list are currently being prescribed lithium).

  • Better engagement of patients with their medication through a focus on valproate and pregnancy prevention.

  • Improve collaboration between practices, networks and community pharmacists to share learning and improve systems to reduce harm and improve safety.

  • Participate in a minimum of 2 network peer review meetings.

End-of-life care
37 points available
(27 points for activity
10 points for network activity)
Demonstrate continuous QI activity focused on end-of-life care as specified in the QOF guidance and lead to improvements in the following aspects:
  • Early identification and support for people with advanced progressive illness who might die within the next 12 months.

  • Well-planned and coordinated care that is responsive to the patient’s changing needs with the aim of improving the experience of care.

  • Identification and support for family/informal caregivers, both as part of the core care team around the patient and as individuals facing impending bereavement.

  • Participate in a minimum of 2 network peer review meetings.

  • (From NHS England Guidance: NHS England, British Medical Association. 2019/20 General Medical Services (GMS) contract Quality and Outcomes Framework (QOF). Guidance for GMS contract 2019/20 in England)12