FOI 2026/1741

We are examining the national use of quality indicators relating to the management of long-term conditions in primary care. Before submitting this request, I conducted a search on published FOI disclosures on your website to the best of my ability and was unable to identify a similar request in the recent years.

I would be grateful if you could provide information on any primary care quality indicators, or metrics, or local performance measures used by your ICB that are not part of the national Quality and Outcomes Framework (QOF). If possible, answering the following questions specifically:

1. Does your ICB currently commission, monitor, or incentivise any primary care quality indicators, metrics, or local performance measures for adults that are not part of the current national Quality and Outcomes Framework (QOF) and are not specific to a single disease?

(Note: These may include indicators or metrics that are person-centred care, patient experience, patient safety, care coordination, or overall quality of care)

☐ Yes (Proceed to question 2)

☐ No (Proceed to question 6)

☐ Unclear / other (please specify)

2. If yes, please provide a list of these indicators and for each indicator, where available, please include:

• The name and brief description / definition
• The target population or eligibility criteria
• How are they measured (if applicable please provide numerator and denominator)
• The frequency of reporting or review (e.g., monthly, quarterly, annually)

3. For the indicators identified above, please describe how and what they are used for (tick any that apply)

☐ Commissioning

☐ Monitoring

☐ Quality improvement programmes

☐ Research

☐ Other purposes (please specify):

4. For the indicators identified above, how are data collected or reported? (tick any the apply)

☐ Electronic health record extraction

☐ Manual audit

☐ Self-reporting by practices

☐ Verbal Surveys / Interviews

☐ Written / Online Surveys or forms

☐ Other methods (please specify)

5. Who is responsible for reviewing or monitoring these quality indicators (e.g., ICB Quality Committee, System Quality Group, primary care commissioning teams)?

6. Has your ICB previously implemented any primary care quality indicators, metrics, or local performance measures for adults that were not part of QOF and not specific to a single-disease disease that are no longer in use?

☐ Yes (Proceed to 6.1)

☐ No (Proceed to 7)

☐ Unclear / other (please specify)

6.1. If so, please provide the name of the indicator and, where available, any documentation describing it.

7. Is your ICB undertaking any current or future work to develop quality care indicators outside nationally mandated QOF?

☐ Yes (proceed to 7.1)

☐ No (End of questions)

7.1. If yes, please provide:

• A brief description of the work programme or initiative
• The name of the programme or policy (if applicable)
• Any publicly available documents, strategies, frameworks, or reports describing this work that you could provide a link or copy.

1.

√ Yes (Proceed to question 2)

2. This information is included within the attached service specification document.

3.

√ Commissioning

√ Monitoring

√ Quality improvement programmes

4.

√ Electronic health record extraction

√ Manual audit

√Self-reporting by practices

5. Contractual performance and compliance is reviewed by ICB Primary Care Contracts Panel, reporting into the ICB Primary Care Commissioning Group.

6.

√ No (Proceed to 7)

6.1. N/A

7.

√ Yes (proceed to 7.1)

7.1. NHS GM has an ongoing programme of review of local commissioning arrangements for Primary Care. This is known as ‘BeCCoR’ – Beyond Core Contract Review. The attached document presents the scheme for General Practice for 2026/27. This programme is subject to ongoing evaluation and impact consideration. During 2026/27 it is intended to extend the programme from General Practice to Community Pharmacy, Dental and Optometry local commissioning.

**A PDF document was sent to the requester with this response.  If you require a copy of the full response, together with the attachments, please contact NHS GM’s FOI team – nhsgm.foi@nhs.net **