What is QoF?
The Quality and Outcomes Framework (QOF) is a voluntary annual reward and incentive programme for all GP surgeries in England, detailing practice achievement results. It is not about performance management but resourcing and rewarding good practice.
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. 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.
QoF summary
| Keep a register of patients aged over 6 years |
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Diagnosed after 1st April 2023
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Annual review
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| Keep a register of patients |
| Patient needs CHA2DS2-VASc in the last 12 months |
| Patients with CHA2DS2-VASc > 2 need anticoagulant |
Maintains a register of all cancer patients defined as a ‘register of patients with a diagnosis of cancer excluding non–melanotic skin cancers diagnosed on or after 1 April 2003
The percentage of patients with cancer, diagnosed within the preceding 24 months, who have a patient Cancer Care Review using a
structured template recorded as occurring within 12 months of the date of diagnosis
The percentage of patients with cancer, diagnosed within the preceding 12 months, who have had the opportunity for a discussion and been informed of the support available from primary care, within 3 months of diagnosis
Keep a register of patients
Percentage of patients on Coronary Heart Disease, Peripheral Arterial Disease, or Stroke/ Transient Ischaemic Attack Register, who have a recording of LDL in the preceding 12 months that is 2.0 mmol/L or lower
or
where LDL cholesterol is not recorded a recording of non-HDL cholesterol in the preceding 12 months that is 2.6 mmol/L or lower
Keep a register of patients (over the age of 18 with CKD 3-5)
| Keep a register of patients |
| Spirometry with reversibility between 3 months before diagnosis and 1 year after diagnosis |
| FEV1 recorded |
| COPD annual review |
| – MRC dyspnoea score |
| – Number of exacerbations |
| MRC score > 3 need referral to oulmonary rehab |
| Influenza vaccination |
| Keep a register of patients |
|
BP reading
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| Influenza vaccination |
| Patient needs to be taking either Aspirin / Clopidogrel or anticoagulant |
- The proportion of women eligible for screening aged 25-49 years at end of period reported whose notes record that an adequate cervical screening test has been performed in the previous 3 years and 6 months
- The proportion of women eligible for screening and aged 50-64 years at end of period reported whose notes record that an adequate cervical screening test has been performed in the previous 5 years and 6 months
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Register of patients Annual review of care plan |
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Patients aged 18 or over with a new diagnosis have a review by a GP within 10 and 56 days of diagnosis |
| Keep a register of patients (over the age of 17) |
| Last IFCC < 58 |
| Last IFCC <75 |
| Foot examination and risk classification |
| Last BP < 150/90 |
| Last BP <140/80 |
| ACEi or ARB if microalbuminuria or proteinuria |
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History of cardiovascular disease – treated with a statin No history of cardiovascular disease and without moderate or severe frailty, treated with a statin (excluding patients with type 2 diabetesand a CVD risk score of <10% recorded in the preceding 3 years) |
| Influenza vaccination |
| Referred to structured education programme within 9 months of entering register |
Register of patients
| Register of patients |
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BP reading
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| Register of patients |
| Needs ECHO confirmed diagnosis or coronary angio |
| ACEi or ARB |
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B Blocker (Must be bisoprolol, carvedilol or nebivolol) Annual review
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Register of patients
| Register of patients with |
| Schizophrenia, psychoses, bipolar disorder or prescribed lithium |
| Needs personal health plan |
| Alcohol consumption |
| BP check |
| Smear (if eligible female) |
| Lithium check in therapeutic range |
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Creatinine and TSH check if on lithium Lipid profile Blood glucose or HBA1C |
Register of patients aged over 18 with BMI > 30
| Keep a register of patients – |
| Age 50-74 with fragility fracture and DEXA confirmed osteoporosis |
| Age >75 with fragility fracture |
| Patients in 1) receiving treatment |
| Patients in 2) receiving treatment |
Keep a register of patients
Review patients on the palliative care register at least every 3 months
Keep a register of patients
| Aged > 45 with BP recorded in the last 5 years |
| Aged 30-75 with CVD risk >20% on statin |
Keep a register of patients (over the age of 16)
Annual face to face review
Register of women prescribed contraception
Patients given emergency contraception are given information on LARC within 1 month of the prescription
Smoking status for anyone with CHD / DM / CVA / BP / COPD / Asthma / Psychosis / PVD / CKD
Offer support and treatment
Smoking cessation advice
Support with literature and appropriate therapy
Keep a register of patients
BP reading
- < 140/90 if < 80
- <150/90 if > 80
TIA or non bleed CVA on antiplatelet or anticoagulant
Influenza vaccination
The percentage of babies who reached 8 months old in the preceding 12 months, who have received at least 3 doses of a diphtheria, tetanus and pertussis containing vaccine before the age of 8 months
The percentage of children who reached 18 months old in the preceding 12 months, who have received at least 1 dose of MMR between the ages of 12 and 18 months
The percentage of children who reached 5 years old in the preceding 12 months, who have received a reinforcing dose of DTaP/IPV and at least 2 doses of MMR between the ages of 1 and 5 years
The percentage of patients who reached 80 years old in the preceding 12 months, who have received a shingles vaccine between the ages of 70 and 79 years