Quality and outcomes framework

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The quality and outcomes framework (QOF) is part of the General Medical Services (GMS) contract for general practices and was introduced on 1 April 2004.

The QOF rewards practices for the provision of 'quality care' and helps to fund further improvements in the delivery of clinical care.

Practice participation in QOF is voluntary but most practices with GMS contracts, as well as many with Personal Medical Services (PMS) contracts, take part in QOF. 

From 2013/14 the QOF agreement in England is different to the agreements in Scotland, Northern Ireland and Wales.

Access the 2016/17 QOF guidance.

Download a summary of the changes to QOF for 2016/17.

A set of FAQs has been developed to support commissioners in delivery of the GMS contract, these FAQs can be found on our QOF FAQs page.

Details of QOF changes by year can be found on these pages:

Changes to QOF 2017/18

Changes to QOF 2016/17

Changes to QOF 2015/16

Changes to QOF 2014/15 

Changes to QOF 2013/14

Access information on the changes to QOF between 2006-2012 in our archive. 

Access information on the development and working of QOF in our PDF summary. 

Further information

The full set of indicators of achievement are outlined in the latest QOF guidance, published by NHS Employers, which is updated for each year.

QOF results are published annually for the following countries, by the following organisations:

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