Quality Outcome Framework
"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 then rewarding good practice.

The QOF contains four main components, known as domains. The four domains are: Clinical Domain, Organisational Domain, Patient Experience Domain and Additional Services Domain. Each domain consists of a set of achievement measures, known as indicators, against which practices score points according to their level of achievement. The 2010/11 QOF measured achievement against 134 indicators; practices scored points on the basis of achievement against each indicator, up to a maximum of 1,000 points.

  • clinical care: the domain consists of 86 indicators across 20 clinical areas (e.g. coronary heart disease, heart failure, hypertension) worth up to a maximum of 697 points.
  • organisational: the domain consists of 36 indicators (worth up to 167.5 points) across five organisational areas – records and information; information for patients; education and training; practice management and medicines management.
  • patient experience: the domain consists of three indicators (worth up to 91.5 points) that relate to length of consultations and to patient experience of access to GPs.
  • additional services: the domain consists of nine indicators across four service areas – cervical screening, child health surveillance, maternity service and contraceptive services.


The QOF gives an indication of the overall achievement of a surgery through a points system. Practices aim to deliver high quality care across a range of areas for which they score points. Put simply, the higher the score, the higher the financial reward for the practice. The final payment is adjusted to take account of surgery workload and the prevalence of chronic conditions in the practice's local area.

To report the latest annual QOF points, The NHS Information Centre for health and social care (The NHS IC) has developed this online database to allow patients and public easy access to this useful data that indicates how well their surgery is doing. The NHS IC is working to make information more relevant and accessible to the public, regulators, health and social care professionals and policy makers, leading to improvements in knowledge and efficiency."

Source: The NHS Information Centre. 13 April 2012. http://www.qof.ic.nhs.uk/index.asp