Incentive payments are not related to expected health gain in the pay for performance scheme for UK primary care: cross-sectional analysis

Table 2 Quality indicators, expected health gain, and payment for performance in 2006

Quality Indicator label	Indicator	Level of evidence¹	Payment thresholds (%)	Payment range²	Maximum payment (£)	Marginal payment (£)³	E-reporting rate (%) 2007⁴	Maximum lives saved (n)	Achievable lives saved (n)	Incentivised lives saved (n)	Maximum QALYs Gained (n)	Achievable QALYs Gained (n)	Incentivised QALYs gained (n)
1	DM 18	c	40-85	45	374	8.31	15	4.1	3.5	3.0
2	CHD 12	c	40-90	50	872	17.44	13	4	3.5	3.1
3	BP 5	rct	40-70	30	7102	236.73	4	3.1	3.0	2.1	561	539	377
4	CHD 10	rct	40-60	20	872	43.60	27	2.9	2.1	1.3	427	311	187
5	Stroke 10	c	40-85	45	249	5.53	15	1.8	1.5	1.3
6	DM 20	rct	40-50	10	2118	211.80	10	1.7	1.5	0.8
7	CKD3	c	40-70	30	1371	45.70	11	1.7	1.5	1.1
8	COPD 8	c	40-85	45	748	16.62	13	1.6	1.4	1.2
9	CHD 9	rct	40-90	50	872	17.44	3	1.6	1.5	1.4	2	2	2
10	AF3	rct	40-90	50	1869	37.38	4	2.9	2.8	2.5	183	176	158
11	CHD 8	rct	40-70	30	2118	70.60	9	1	0.9	0.6
12	Stroke 12	rct	40-90	50	498	9.96	7	1	0.9	0.8	11	10	9
13	DM 12	c	40-60	20	2243	112.15	7	0.9	0.8	0.5
14	LVD 3	rct	40-80	40	1246	31.15	8	0.8	0.7	0.6	5	5	4
15	CHD 6	rct	40-70	30	2367	78.90	3	0.7	0.7	0.5
16	Smoking2	c	40-90	50	4361	87.22	1	0.7	0.7	0.6	14	14	12
18	DM 7	c	40-90	50	1371	27.42	5	0.4	0.4	0.3
20	DM 15	rct	40-80	40	374	9.35	6	0.2	0.2	0.2	17	16	13
24	CHD 11	rct	40-80	40	872	21.80	8	0.1	0.1	0.1	2	2	1
26	CKD4	c	40-80	40	498	12.45	9				234	216	173
27	CS1	c	40-80	40	1371	34.28	6				71	67	53
28	DM 21	c	40-90	50	623	12.46	7				115	107	96

All data for an average practice of 6411 patients, all figures rounded to whole numbers (except lives saved and marginal payment)
¹ rct = randomised controlled trial, c = cohort. ² % range of achievement between minimum and maximum payments
³ £ incentive gained for a 1% increase in performance within payment range. ⁴ E-reporting = exception reporting

ISSN: 1472-6963