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Letters QOF and premature mortality

Authors’ reply to Honeyford and colleagues and Roland

BMJ 2015; 350 doi: (Published 30 March 2015) Cite this as: BMJ 2015;350:h1681
  1. Evangelos Kontopantelis, senior research fellow1,
  2. David A Springate, research fellow2,
  3. Mark Ashworth, senior lecturer3,
  4. Roger T Webb, reader4,
  5. Iain E Buchan, professor1,
  6. Tim Doran, professor5
  1. 1Centre for Health Informatics, Institute of Population Health, University of Manchester, Manchester, UK
  2. 2National Institute for Health Research, School for Primary Care Research, Centre for Primary Care, Institute of Population Health, University of Manchester
  3. 3Primary Care and Public Health Sciences, King’s College London, London, UK
  4. 4Centre for Mental Health and Risk, University of Manchester
  5. 5Department of Health Sciences, University of York, York, UK
  1. e.kontopantelis{at}

We agree with Honeyford and colleagues that investigation of specific pathways of care is warranted, but we aimed to investigate the association between overall Quality and Outcomes Framework (QOF) performance and mortality.1 2 We did, however, assess outcomes indicators related to deaths from specific conditions, but found no association with mortality. We omitted recorded prevalence from our models because register sizes also depend on “true” community prevalence, which partly depends on survival. …

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