It could be argued, therefore, that the QOF indicators as they stand present GPs with a perverse incentive to not increase screening or depression diagnoses, as this would increase the follow-up and the severity assessments and screening required to meet the QOF targets. In 2013/2014, there are two indicators for depression - the percentage of adult patients with a new diagnosis of depression that have had a biopsychosocial assessment by the point of diagnosis (DEP001) and the percentage of patients with depression reviewed patients between 10-35 days after initial diagnosis (DEP002). For a list of the 2013/2014 indicators, see (BMA, 2014). Payment by Results (PbR) has been used since 2004 as a key provider payment mechanism in secondary care.