Quality and outcomes framework (QOF) statistics - annual report

The quality and outcomes framework (QOF) is the annual reward and incentive programme detailing GP practice achievement results. QOF is a voluntary process for all surgeries in the UK and was introduced as part of the GP contract in 2004

What QOF is

The QOF contains groups of indicators, against which practices score points according to their level of achievement. QOF awards surgeries achievement points for (i) managing chronic diseases and addressing public health; (ii) providing services for cervical screening and contraception; (iii) surveying patient experience; and (iv) improving quality and productivity with regard to secondary care referrals.

The QOF gives an indication of the overall achievement of a practice through a points system. Practices aim to deliver high quality care across a range of areas, for which they score points. Put simply, the higher the score, the higher the financial reward for the practice. Although QOF was originally a UK-wide framework, it is now specific to each UK country.  QOF was retired in Scotland on 31 March 2016.  In Wales, QOF was replaced in 2019-20 by the Quality Assurance and Improvement Framework.

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