Changes to QOF 2018/19

GP on computer

On the 20 March 2018, NHS Employers and the British Medical Association’s General Practitioner Committee (GPC) agreed a number of changes to Quality and Outcomes Framework (QOF) effective from 1 April 2018. These changes apply in England only.

The key changes are:

  • The average practice list size (CPI) had risen from 7,732 as at 1 January 2017 to 8,096 at 1 January 2018.
  • The value of a QOF point will increase by £8.06 or 4.7 per cent from £171.20 in 2017/18 to £179.26 in 2018/19.
  • QOF indicators continue unchanged with the exception of a minor change to the clinical codes that make up the register for learning disabilities. As such, the indicator ID had changed from LD003 to LD004. See QOF FAQs for further details.
  • No changes to thresholds for 2018/19.

Although no indicators have been retired for this year, it is expected that practices will continue to undertake work as clinically appropriate in relation to those indicators no longer in QOF (INLIQ). From 1 April 2017, it was a contractual requirement for practices to facilitate data collection on these indicators.

Periodically, NHS England will collect anonymised data from practices’ clinical systems which will provide statistical information, be processed for audit and publication and will help inform commissioners and practices. It is not intended for performance management purposes.

Access the 2018/19 QOF guidance.

A summary of QOF indicators for 2018/19 is available to download.

The list of INLIQ are available to download.

A set of FAQs were developed to support commissioners in the delivery of the 2017/18 GMS contract and they can be found on our FAQs page. This page will be updated from July 2018.

NICE menu of recommended changes to the QOF

For full details of the recommendations made by NICE along with any relevant supporting documents, please see the NICE website.


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