The Quality and Outcomes Framework (QOF) - often pronounced as the single word "quaff" - is a voluntary annual reward and incentive programme for all GP practices in England, detailing practice achievement results. It is not about performance management but resourcing and rewarding good practice

It is a system designed to remunerate GP practices for providing good quality care to their patients, and to help fund work to further improve the quality of health care delivered. QOF generally accounts for around 10% of a practice's income. It is a fundamental part of the General Medical Services (GMS) Contract, introduced in 2004. The QOF contains five main components, known as domains. The five domains are:

• Clinical: consists of 57 indicators across 20 clinical areas (e.g. chronic kidney disease, heart failure, hypertension) worth up to a maximum of 401 points.
• Public health: consists of five indicators (worth up to 85 points) across three clinical areas – blood pressure, obesity 18+ and smoking 15+.
• Public health – additional services: consists of two indicators (worth up to 11 points) across one service area – cervical screening.
• Public health – vaccination and immunisation: consists of four indicators (worth up to 64 points) across one service area - vaccination and immunisation
• Quality improvement: consists of eight indicators (worth up to 74 points) across two areas – optimising access and prescription drug dependency

A maximum possible points of 401+85+11+64+74 = 635 points

Each domain consists of a set of achievement measures, known as indicators, against which practices score points according to their level of achievement. The QOF gives an indication of the overall achievement of a practice through a points system. Practices aim to deliver high quality care across a range of areas for which they score points. The final payment is adjusted to take account of surgery workload, local demographics, and the prevalence of chronic conditions in the practice's local area.

See Trent View Medical Practice's QOF 2022/23 results HERE