2011119

95% GP - - - - - - Primary Care Secondary Care 5%

Scarsdale Medical Centre

32GP2 1 2 1 1 1 (11) 1 22 1 (Boots)

FINANCESQOF 30% GMS/PMS 60% Enhanced services 10% Scarsdale Medical CentrePrescribing Incentive schemeTraining 1% Addition services 1%

PCTs () General Medical Services ,GMS Personal Medical Services,PMS 60% 30%

PCTGP60%1.GP2.PCT3.4.GPGP

Quality outcome framework (QOF)30% 2004 2 4PCT GP

QOF Points for health outcomes Chronic disease management 20 different disease groups 20GPs given very specific tasks for these patients GP Quality Management Analysis System (QMAS)

QOF 20091000 124.60(the Clinical Domain) 697 100878114.3%12.5%11.6%(the Organisational Domain)167.5(the Patient Experience Domain) 91.5(the Additional Services Domain) 44

(the Clinical Domain)697 8620(2009) (69.7) TIA COPD CVD

Hypertension, for example Target% Points Register 6 BP in last 9 months 90% 18 Last BP < 150/90 70% 57 UKHBP160031HBP20092025HBP15.632.1WHO200810

the Organisational Domain2009536,167.5(16.75)

(the Patient Experience Domain)391.59.15

(the Additional Services Domain)200949,44(4.4)

QOF

GPGP GP5mmol/L 2004/200571%,2005/200678.5% 2000GDP7.1%19989.2%NHS30%95%

11(3)(5)8(B203-5

:

1.GP2.QOF3.QOF

1.2.QOF3.GP

: 1. 2. 3.

:1. 2.QOF3.

1.GP2.(nurse practitioner)(nurse specialist)3.GPGP95%GP

1.182.1.2.

1. 2.

*

*