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Rowleys Red Flag Alert – December 2021

9th December 2021

In this we look, in brief, at the temporary changes to Quality and Outcome Framework (Qof ) and PCN Investment and Impact Fund ( IIF ) for 2021/2022, issued 7th December 2021, as a result of the need to accelerate the roll out of the Covid Vaccination Booster Programme.


In summary:-

Indicators still based on 2021/2022 achievement Maximum Points
Childhood Immunisation Indicators 64
Cytology Indicators 11
Prescribing Indicators (including an additional 46 points) 90
Disease Register Indicators 81

Of the remaining 389 points for 2021/2022:

Practices should review their performance in these years and if during these years their performance was paid based on previous years due to changes in clinical systems or Practice issues then these may not be reflected on CQRS so Practices should discuss with their CCG to ensure they are appropriately paid.

Other points to note:

Primary Care Networks – Investment and Impact Fund

Originally there were 666 points available for performance based IIF indicators. 497 of these points have now been suspended and “repurposed”.

Indicators remaining for 2021/2022:

Indicator Threshold Maximum Points
Patients over 65 having Flu vaccination 80% – 86% 40
Patients 18 – 64 having Flu vaccination 57% -90% 88
Children aged 2-3 on 31st August having Flu vaccination 45% – 82% 14
Mapping of all appointments to new national categories* N/A 27

* This indicator should have already been completed and payment made to the PCN

Nationally, the 497 suspended points have released £112.1M, which is being repurposed as follows:

Other Measures


For further information on the above or to arrange a consultation, please contact Paula Swann-Jones or call 0116 282 7000.

These overviews are guides only and cannot deal with any issue in great depth, so for personal individual advice or further information please contact our team 

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