The Quality and Outcomes Framework

The Quality and Outcomes Framework (QOF) is a voluntary annual reward and incentive programme for all GP surgeries within England, detailing practice achievements results. It is not about the performance management but resourcing and then rewarding good practice.

QOF containing three main components, which are otherwise known as domains. The three domains are: Clinical; Public Health and Public Health – Additional Services. Each domain consists of a set of achievement measures, known as indicators, again which practices score points according to their level of achievement.

The QOF gives an indication of the overall achievement of a surgery through a points system. Practices aim to deliver high-quality care across a range of area for which they score points. Put simply, the higher the score, the higher the financial reward for the practice. The final payment is adjusted to take account of surgery workload, local demographics and the prevalence of chronic conditions in the practice’s local area.

NHS Digital has developed an online database to allow patients and the public easy access to the latest annual QOF points as an indication of how well the surgery is doing. NHS Digital is working to make information more relevant and accessible to patients and the public, regulators, health and social care professional and policymakers, leading to improvement in knowledge and efficiency.

For additional information about QOF follow the link here:

To see our latest CQC report please follow the link here: