The Quality and Outcomes Framework (QOF) in the UK is a reward and incentive programme for general practitioners. Many of the QOF areas highlight prescribing as an intervention. Whilst these are linked to quality outcomes and have an evidence base they are often prescribed to essentially ‘tick’ that box.
Are we prescribing more medications because it makes ‘good’ clinical sense but concurrently adding to the polypharmacy burden?
Here are the following areas where prescribing is included/required within QOF:
Atrial Fibrillation: AF003, AF004
Secondary Prevention of Coronary Heart Disease: CHD002, CHD003, CHD005 and CHD006
Heart Failure: HF004
Peripheral Arterial Disease: PAD002, PAD003 and PAD004,
Stroke and Transient Ischaemic Attack: STIA003, STIA005 and STIA 007.
Diabetes Mellitus: DM003, DM004, DM006, DM007, DM008 and DM009.
Mental Health: MH009
Take the time to review your patients in line with the evidence and treating the patient as an individual and reduce the chance of medicines misadventure and the burden of polypharmacy.
#deprescribing #polypharmacy #medicationreview #ADRs