According to PULSE the publication for doctors in General Practice in the UK the QOF (Quality Outcome Framework) is not behind falling heart failure re-admissions. Hospital admissions for heart failure have dropped since the advent of the new GP contract, but are not associated with improving QOF scores for the disease, claim UK researchers.
The researchers studied practice-level admissions rates in England for heart failure between 2004 and 2011. They then correlated this with population factors such as deprivation, race, smoking and CHD prevalence, as well as primary care factors such as practice size, GP supply, access and QOF scores. The heart failure hospital admission data were extracted from the Hospital Episode Statistics (HES) database. Practice level QOF data were obtained from the NHS Information Centre.