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 followup and the severity assessments and screening required to meet the qof targets in 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 dep and the percentage of patients with depression reviewed patients between days after initial diagnosis dep for a list of the indicators see bma payment by results pbr has been used since as a key provider payment mechanism in secondary care