Quality and Outcomes Framework - 2005-06, Exception reporting
The QOF includes the concept of exception reporting. This has been introduced to allow practices to pursue the quality improvement agenda and not be penalised, where, for example, patients do not attend for review, or where a medication cannot be prescribed due to a contraindication or side-effect.
The availability of information in respect of 2005/06 QOF achievement has enabled an analysis of the indicators most likely to be subject to exception reporting. It has provided an indication of the variations in exception rates that are found between specific indicators, and between NHS organisational areas.
- The overall effective exception rate for England was 5.55 per cent.
- There is variation in exception rates across indicators. In general, the lowest exception rates relate to indicators that measure a process, and the highest exception rates relate to indicators that measure outcomes.
- At practice level 444 practices (5.4 per cent) had overall exception rates higher than 10 per cent.