Jan 11

Humber and North Yorkshire ICB Response to QOF/IIF Request

In December, acting in response to concerns voiced by practices facing overwhelming pressure, Humberside LMC and our colleagues at YORLMC sent a joint request to Humber and North Yorkshire ICB requesting that QOF and IIF be protected for the remainder of 2022/23 within our ICB area. This was to enable  practices to focus on delivering care for those patients who are contacting practices desperate for our care. You can read our letter here

We have received a response from the ICB which states:

“Whilst we fully understand this could be helpful to practices NHS England has advised the ICB that we are not able to make local changes to the national QOF and IIF schemes, including suspension and income protection. As these contracts are nationally negotiated and agreed, doing so would be out with the Statement of Financial Entitlements and therefore unfortunately not an option open to systems.”

The response points to measures to support general practice, including flexibility with the Additional Roles Reimbursement Scheme, suspension of a range of Investment and Impact Fund Indicators, amendment of requirements on PCNs in relation to personalised care and anticipatory care, and funding for additional capacity over Winter. It also invites views on flexibilities in relation to locally commissioned services, which we will follow up on. Read the ICB response here

We have emphasised to the ICB that while they may not be able to stand down QoF contractually, they are in a position to provide a financial package and guarantee practice income against these indicators. Knowing this income will be paid regardless of QoF or IIF would allow general practice to focus on urgent measures given the current pressures, and divert clinical and management time towards immediate need rather than having to achieve these targets. We will continue to make this argument for investment directly into general practice by the ICB to allow you to focus on patient care. The LMC will continue to press for all measures to support general practice in our engagement with Humber and North Yorkshire ICB.