Gavin Jamie
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Comment on: PCTs face tough questions on QOF reporting
Exceptions are probably the subtlest and most complex bit of the QOF. What is presented here is crude data without any attempt at analysis. There has been a simple attempt to exempt practices with growing populations from the tables as new patients are automatically excepted for 3-9 months from the QOF. However exactly the same issue applies to practices with high list turnover - this has not been accounted for. In many of the areas with highest variability the results are highly dependent on secondary care services - which may explain some of the consistency within PCTs. We know the QMAS records the categories of exception reporting and any analysis must begin with that level of detail.
