QoF CQC reflection

This is what one practice submitted…

Written Reflection Relating to Practice QOF and CQC

Trends and Patterns

  • See our latest QoF achievements here:  http://qof.hscic.gov.uk/search/index.asp  ; type in BD10 into the search box and select Ashcroft Surgery, Bradford.
  • There has been yearly increases in requests for appointments and work diverted from secondary care.  The practice has the same list size but the workload has increased dramatically since last re-approval.  Despite this, QoF, DES and LES targets have all been delivered well.  This has been through collaborative team work which encourages GP trainees to actively participate.

From the current set of paperwork, we have achieved 518 points from a maximum of 545.

Specific areas for change or improvement within your practice as a training practice

The main clinical area we need to improve on is diabetic care (mainly foot checks and retinopathy screening).  We scored 64 from a total available pot of 86 points.  We have a new diabetic lead within the practice.  No doubt this area will improve over the coming year.

Any areas of concern highlighted by QOF or CQC

None highlighted in QoF.  Still not CQC’d yet.


Trends and Patterns

a)    Records and information

The practice has up to date clinical summaries for over 80% of the patients.
The practice has a system for summarising new patient records within 8w of registration.
The practice has a system for acting on information received about patients.
The practice has a robust system for transferring information to other doctors/organisations (e.g. OOH)

b)    Information for patients

The practice supports patients with appropriate health literature (stopping smoking for example) from a variety of sources (physical/electronic leaflets and online material). 

c)    Education and training

All practice members receive annual training in Basic Life Support, Info. Governance & Fire Safety.
All doctors maintain a record of up to date Child and Adult Safeguarding training.
All GPs and nurses participate in peer appraisal.
The practice maintains a register of who is up to date and who is not.
The practice has a system for handling patient complaints and sharing learning points from discussions.
The practice has a system for reviewing Significant Events and highlighting points for learning and change.   In addition, the practice regularly reviews deaths, patients on the terminal care register, child and adult protection cases. 

d)    Practice Management

The practice has clear and accessible pathways for Adult and Child protection.
The practice offers a range of appointments to patients.
The practice has a system to ensure regular inspection, calibration & maintenance of medical equipment.
The practice has policies which include a staff manual, employment policies, equal opportunities, bullying & harassment and sickness absence – to which staff have access.

e)    Medicines Management

The practice possesses equipment and in-date drugs appropriate to emergency care in general practice.   In addition, there is a system in place for checking the expiry dates of emergency drugs on an annual basis.
The number of hours from requesting a prescription to availability for collection is 48 hours.
The practice meets a prescribing advisor at least annually to review and improve prescribing.
The practice has a medication review process for patients who are on repeats (which is recorded in the medical notes).

All our protocols and policies are available here:


Specific areas for change or improvement within your practice as a training practice

We re-profiled our nursing team last year, to increase HCA time and nursing skills.  We created a new admin role specifically for the nurses to help with nursing admin work which is on the increase.  Looking to increase the skill mix and develop our doctor team with introduction of an employed in-house pharmacist, and Advanced Nurse Practitioner.   

Any areas of concern highlighted by QOF or CQC

None highlighted by QoF.

Still yet to be CQC’d