Skip to main content Skip to footer

Quality and Outcomes Framework (QOF)

The QOF is a voluntary reward and incentive programme for GP practices in England, introduced in 2004.

Practices are rewarded for:

  • their achievements in relation to how well the practice is organised
  • how patients view their experience at the surgery
  • the amount of extra services offered, such as child health and maternity services
  • how the practice manages the most prevalent chronic diseases such as asthma and diabetes.

The QOF is divided into clinical domains:

  • coronary heart disease
  • stroke
  • hypertension
  • diabetes mellitus
  • chronic obstructive pulmonary disease
  • epilepsy
  • hypothyroidism
  • cancer
  • mental health
  • asthma