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QoF summary 2026-27

QOF 2026/27 continues the simplification of recent years, with several indicators merged or retired and thresholds adjusted to reflect realistic delivery. Long‑term condition management remains central, with updated mental health indicators and refreshed QI modules focusing on continuity, access, and inequalities. The overall points total remains unchanged, with modest inflationary uplift. The changes aim to reduce administrative burden while supporting proactive, personalised care.

Area2025/26 Position2026/27 PositionChange
Total QOF PointsUnchanged baselineUnchangedNo change
Indicator CountHigher number of discrete indicatorsSeveral indicators merged/retiredStreamlined
ThresholdsSome thresholds considered unrealisticModerated upper thresholds; raised lower thresholdsAdjusted
LTC FocusStrong focus on CVD, diabetes, respiratorySame focus, with more emphasis on personalised careRefined
Mental HealthTraditional care plan indicatorsUpdated wording and simplified requirementsModernised
QI ModulesAccess, LTC, and inequalities themesContinuity, access/demand, inequalitiesNew modules
Administrative BurdenModerateReduced through indicator consolidationImproved
Payment StructureStandard QOF payment formulaSame formula with inflationary upliftMinor financial change

1. Indicator Streamlining Continues

  • Several indicators are retired or merged, particularly where duplication existed across LTC domains.
  • A small number of indicators are re‑worded to emphasise personalised care and shared decision‑making.
  • No new high‑burden process indicators are introduced.

2. Threshold Adjustments

  • Upper thresholds are moderated in areas where national performance data showed persistent gaps.
  • Lower thresholds are raised in some indicators to reduce variation and encourage baseline consistency.

3. LTC Focus Strengthened

  • Cardiovascular, diabetes, and respiratory indicators remain the backbone of QOF.
  • Greater emphasis on structured medication reviews, personalised care plans, and proactive recall.

4. Mental Health Indicators Updated

  • Wording updated to reflect modernised care planning and physical health monitoring.
  • Some indicators simplified to reduce administrative duplication.

5. Quality Improvement (QI) Modules Updated

  • New QI modules for 2026/27 focus on:
    • Continuity of care
    • Access and demand management
    • Health inequalities
  • QI remains non‑point‑scoring but contractual.

6. No Change to Overall QOF Point Value

  • Total points remain stable.
  • Point value uplift reflects inflationary adjustments.
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