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The Calculating Quality Reporting Service (CQRS) is an approvals, reporting and payments calculation system used by GP practices and Primary Care Networks (PCNs). It helps GP practices and PCNs to track, monitor and declare achievement for the Quality and Outcomes Framework (QOF), Directed Enhanced Services (DES), and Vaccination and Immunisation (V&I) Services.
There are two CQRS systems:
CQRS National
Facilitates payments in support national health services including GP Contract for Directed Enhanced Services (DES), Quality and Outcomes Framework (QOF), and Vaccination and Immunisation (V&I) services. Its use is a mandatory requirement by NHS England.
CQRS Local
The CQRS Local system enables commissioners and primary care providers to manage their Local Incentive Schemes. It provides flexibility for users managing schemes through an online payment tool that leads to easier claims management for Commissioners and prompt payments for primary care providers. It complements CQRS National, but is a separate system, and its use is not currently mandated by NHS England.
What CQRS is used for
CQRS collects information from GP practices either:
- automatically from the practice clinical records system, through the General Practice Extraction Service (GPES); or
- manually directly into the CQRS systems.
In this case, this information helps practices to track and manage their performance against various targets and enhances services frameworks set for them by NHS England.
Data is used to help track:
- the Quality and Outcomes Framework (QOF)
- Directed Enhanced Services (DES)
- Vaccination and Immunisation (V&I)
- the GP workload tool
- the National Diabetes Audit.
This data forms part of the GP Collections service.
How CQRS supports GP and PCN Providers
NHS England negotiates GP contracts on an annual basis. Once completed, the service information is available through CQRS. Commissioning organisations, such as NHS England regional offices and Integrated Care Boards (ICBs), then offer out these services for GP practices and Primary Care Networks (PCNs) to accept.
Once approved, the aggregated, participating practices share non-patient identifiable data with CQRS. Furthermore, the system calculates a Quality Service Achievement based on the data it receives, and relevant payments are made through the PCSE Online system.