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The Quality and Outcomes 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 has undergone several revisions since its introduction in 2004. The 2008-9 QOF contains four main componenets, known as domains. Each domain consists of a set of measures of achievement, known as indicators, against which practices score points according to their level of achievement.

  • clinical care: the domain consists of 80 indicators across 19 clinical areas (eg. cornary heart disease, heart failure, hypertension, diabetes etc)
  • organisational: the domain consists of 36 indicators across 5 organisational areas - records and information; information for patients; education and training; practice management and medicines management.
  • patient experience: the domain consists of 5 indicators that relate to length of consultations and patient surveys (eg the GP Patient Survey).
  • additional services: the domain consists of 8 indicators across 4 service areas which include cervical screening, child health surveillance, maternity services 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 ponts. 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 practices' local area.


To report the latest annual QOF points, The NHS Information Centre for health and social care (the NHS IC) has developed an online database to allow patients and public easy access to this useful data that indicates how well their surgery is doing.


The QOF data can be accessed via the following link:




and under the main title bar adjacent to the 'Welcome' label click on 'Search for practice results' and enter our postcode 'PO8 0QL' and select 'The Clanfield Practice'. In the dropdown box you can select to display the results for the latest, last and previous years.


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