Unrivalled Flexibility for Long-Term Condition and QOF Management

Unrivalled Flexibility for Long-Term Condition and QOF Management at The Park Surgery

At The Park Surgery, the focus was on getting more from the system already in place. Unlike systems where meaningful configuration depends on specialist technical skills, SystmOne visualisations enabled the practice to shape and refine workflows directly, using tools already available within the system.

As the demands of QOF delivery and high-risk drug monitoring increased, the challenge was not collecting data, but ensuring it was instantly visible, actionable, and relevant to different roles across the practice.

Inbuilt visualisations functionality provided an ideal way to achieve this. Their unrivalled configurability allowed the practice to shape the system around real-world workflows using tools already available. What started as a single use case was quickly extended across multiple QOF domains and into high-risk drug monitoring. By bringing existing data together into clear, purpose-built views, visualisations rapidly became a valuable, everyday tool supporting decision-making, recall activity, and monitoring across the practice.

“What really stood out with SystmOne visualisations was the sheer flexibility. We didn’t need bolt-ons, coding, or technical development — everything we needed was already in the system. Being able to configure views around how our team actually works made a huge difference.”

Peter Golzey, Practice Manager, The Park Surgery

Using Configurability to Enhance Existing Workflows

All of the information required to manage QOF and monitoring was already held within SystmOne. No additional modules or technical development were required. The innovation lay in how that information could be brought together and presented in a way that directly supports day-to-day work.

Using the flexibility of visualisations, the practice created condition-specific views that surface exactly the information needed in a single, structured, and intuitive layout. These visualisations were designed to support non-clinical QOF leads and administrative staff, enabling them to work more efficiently and confidently with data that was previously accessed across multiple areas of the system.

  • For diabetes, for example, the visualisation brings together:
  • Whether the patient is housebound or living in a care home
  • Whether a review has already been completed in the current year
  • Whether any coding requires updating
  • Details of existing or upcoming appointments
  • The number of failed contact attempts
  • The number and type of invitations sent
  • The date of the last completed review

By configuring all of this information into a single view, without writing code or creating external reports, staff can immediately understand a patient’s status and take the next appropriate action. This clearly demonstrates how flexible, purpose-built visualisations can elevate everyday workflows and turn existing system data into practical, operational insight.

“I’ve not seen another system that allows this level of configurability using existing data. The visualisations can’t be easily replicated elsewhere — they let us shape the system to our workflows, rather than forcing the team to work around fixed screens.”

Peter Golzey, Practice Manager, The Park Surgery

Applying Visualisations to Complex Clinical Areas

The same approach was applied to asthma, an area where multiple codes are required on the same day. The asthma visualisation was configured to clearly highlight what coding is missing, supporting accurate and timely completion of records.

This enables non-clinical staff to identify gaps quickly and work directly with nursing teams, showing how visualisations can be adapted to support accuracy and coordination while continuing to use existing system functionality.

The visualisations developed at The Park Surgery are available to other practices via the SystmOne Resource Library by searching for:

Diabetes QOF Management

Asthma QOF Management

Creating a Central View for QOF Activity

To further improve usability, the practice configured a QOF overview visualisation that displays all outstanding QOF items for a patient in one place, with direct links to the relevant templates.

This overview acts as a central reference point for staff and supports a more joined-up approach to care delivery, enabling multiple QOF requirements to be addressed together where appropriate – again, without relying on bolt-ons or bespoke development.

Extending Visualisations into Drug Monitoring

The flexibility of visualisations was also applied to high-risk drug monitoring. A dedicated view was configured to bring together all relevant blood tests and monitoring requirements into a single, clear display.

Aligned with guidance from the practice’s clinical pharmacist, this visualisation supports consistent and reliable monitoring using existing data, further demonstrating how configurable views can extend the system’s value into different areas of practice activity.

Why Visualisations Have Become Central to the Practice

  • Through configuration rather than replacement, visualisations have become embedded in day-to-day working:
  • Staff can see relevant information at a glance
  • Non-clinical QOF leads work with greater confidence
  • Booking and coding accuracy has improved
  • Clinicians receive fewer queries linked to incomplete information
  • Monitoring activity is clearer and easier to manage

Staff feedback reflects how these views support everyday work:

“This is so much easier than what I used to do. It gives me more confidence in what I am doing and simplifies the process.”

“We are seeing a lot less incorrect bookings since starting this process.”

“Visualisations have completely changed how we manage QOF and monitoring. What started as a small piece of work quickly became something the whole team relies on every day. It’s made information clearer, reduced errors, and given non-clinical staff real confidence in what they’re doing.”

Peter Golzey, Practice Manager, The Park Surgery

Building on a Flexible Foundation

With visualisations now well established, the practice plans to expand their use into areas such as immunisations. The longer-term aim is to continue using configurable views, built entirely within the system, to help staff quickly identify what patients are eligible for, monitored for, and due or overdue, building further on the same flexible foundation already in place.