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NICE publishes draft proposals for new £40m vaccination QOF domain

by Helen Quinn
6 July 2020

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NICE has launched a consultation on draft new GP vaccination and immunisation indicators, which are to form a new QOF domain worth £40m.

The introduction of the new incentive payments, which will be paid to practices that achieve the required coverage for vaccinations and will replace the current childhood immunisation DES, was negotiated as part of the 2020/21 GP contract deal.

NICE’s consultation, which closes on 15 July, proposes six new indicators, from childhood to adulthood.

The proposed indicators are:

  • Diphtheria, tetanus and pertussis: The percentage of babies who reached 6 months old in the preceding 12 months, who have received at least 3 doses of a diphtheria, tetanus and pertussis containing vaccine before the age of 6 months.
  • MMR (first birthday): The percentage of children who reached 18 months old in the preceding 12 months, who have received at least 1 dose of MMR on or after their first birthday and before the age of 18 months.
  • MMR and diphtheria, tetanus, pertussis and poliomyelitis: The percentage of children who reached 5 years old in the preceding 12 months who have received a reinforcing dose of DTaP/IPV and at least 2 doses of MMR on or after their first birthday.
  • MMR (fifth birthday): The percentage of children who reached 5 years of age in the preceding 12 months who have received 1 dose of MMR on or after their first birthday.
  • Pertussis-containing vaccine during pregnancy: The percentage of women who reached 32 weeks of pregnancy in the preceding 12 months who have received a pertussis-containing vaccine after 16 weeks of pregnancy.
  • Shingles vaccine: The percentage of patients who reached 75 years of age in the preceding 12 months with a record of a shingles vaccine.

QOF reporting is currently suspended due to the Covid-19 emergency, but the BMA is in discussions with NHS England about whether GP practices will have to resume reporting before the end of the year.

NICE’s consultation also proposed draft new indicators for obesity, which could see GPs referring a quarter of all their patients to weight management services.


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