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
Diagnosed after 1st April 2006 need PEFR or Spirometry
Aged 14 – 19 and smoking status recorded
Annual review and patients must answer  if night symptoms, day symptoms and exercise related problems
Keep a register of patients
Patient needs CHA2DS2-VASc in the last 12 months
Patients with  CHA2DS2-VASc  > 2 need anticoagulant

Establishes and maintains a register of all cancer patients defined as a ‘register of patients with a diagnosis of cancer excluding nonmelanotic 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 (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
Exacerbating history
Lung function
Inhaler technique check
MRC score > 3 need O2 saturation recording
Influenza vaccination between 1st August – 31st March
Keep a register of patients
BP reading < 150/90
Influenza vaccination between 1st August – 31st March
Patient needs to be taking either Aspirin / Clopidogrel or anticoagulant
Accordion Content
Register of patients
Face to face review of care plan
New patients have FBC UE, LFT, TFT, Gluc, B12, Folate, Calcium 12 month before or 6 months after diagnosis

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 < 59
Last IFCC <64
Last IFCC <75
Foot examination and risk classification
Last BP < 150/90
Last BP <140/80
ACEi or ARB if microalbuminuria or proteinuria
Last cholesterol < 5
Influenza vaccination between 1st August – 31st March
Referred to structured education programme within 9 months of entering register

Register of patients

Register of patients

BP reading < 150/90

Register of patients
Needs ECHO confirmed diagnosis or coronary angio
ACEi or ARB
B Blocker (Must be bisoprolol, carvedilol or nebivolol)

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

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

Patient needs to be taking either Aspirin / Clopidogrel or OTC aspirin BP reading < 150/90

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

Diagnosed after 1st April 2014 and referral for investigations between 3/12 before and 1/12 after episode

BP reading < 150/90

TIA or non bleed CVA on antiplatelet or anticoagulant

Influenza vaccination between 1st August – 31st March

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

QoF documents