Intended for healthcare professionals

Letters QOF exemptions and care homes

Exemptions should be encouraged in frail elderly people

BMJ 2011; 342 doi: (Published 29 March 2011) Cite this as: BMJ 2011;342:d1948
  1. Martin Wilson, consultant physician
  1. 1NHS Highland, UK
  1. martinwilson2{at}

The increased rate of Quality and Outcomes Framework (QOF) exemptions in care homes is to be expected and possibly encouraged.1 Care homes contain a higher proportion of adults for whom attention to chronic disease targets should take a lower priority. In physiologically frail adults, the risk from the adverse effects of …

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