Letters Performance targets in pay for performance programmes

Quality and Outcomes Framework indicators should not be used without proper clinical evidence

BMJ 2014; 348 doi: https://doi.org/10.1136/bmj.g2373 (Published 03 April 2014) Cite this as: BMJ 2014;348:g2373
  1. Pablo Millares Martin, general practitioner1
  1. 1Whitehall Surgery, Leeds, UK
  1. pablo.martin{at}nhs.net

The recent analysis article fails to mention that Quality and Outcomes Framework (QOF) indicators should not be used without proper clinical evidence.1

The National Institute for Health and Care Excellence (NICE) has provided the clinical evidence behind the QOF indicators since 2008. However, little evidence was provided for the need to lower blood pressure targets in patients with hypertension from 150/90 mm Hg to 140/90 …

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