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Glossary
QOF 2013/14 results

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.

QOF

The QOF contains five main components, known as domains. The five domains are: Clinical; Public Health; Public Health - Additional Services; Patient Experience; Quality and Productivity. Each domain consists of a set of achievement measures, known as indicators, against which practices score points according to their level of achievement. The 2013/14 QOF measured achievement against 121 indicators; practices scored points on the basis of achievement against each indicator, up to a maximum of 900 points.

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, local demographics and the prevalence of chronic conditions in the practice's local area.

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

Understanding the results

Browse the online database to find the results for your local surgery.

Other searches will compare your local GP practice against other GP practices in the local area and the national results across England, but caution should be taken in interpreting the results, as detailed below in “what this site cannot tell you”.

The online database provides easy access to comprehensive information on the pattern of common chronic diseases such as asthma, diabetes and coronary heart disease. In terms of scale, the data for QOF is collected from almost 8,000 GP practices with over 56 million registered patients in England.

The QOF helps practices compare the delivery and quality of care currently provided against the achievements of previous years. Ultimately, the aim is to improve standards of care by assessing and benchmarking the quality of care patients receive. The QOF has undergone some revisions since it was first introduced, with several changes in 2013/14 from 2012/13. Changes to the QOF at the start of 2013/14 included the retirement of the organisational domain, retirement of 38 indicators, the introduction of a new clinical area (rheumatoid arthritis) and a new public health area (blood pressure), the introduction of 12 new indicators, and coding and wording changes to individual indicators to better reflect the flow of processes. Many of the timeframes have been reduced from 15 months to 12 months, which has had an impact on some registers. Overall, the maximum QOF score was reduced from 1,000 to 900 points. Changes are covered in detail via the following link to NHS Employers:

www.nhsemployers.org/your-workforce/primary-care-contacts/general-medical-services/gms-contract-changes/contract-changes-201314

Example of the results
image of results chart

The sample of the output chart above shows the results for some of the clinical indicator groups for an individual GP practice.

The latest 2013/14 results are presented in the chart, which also displays the current year's CCG (Clinical Commissioning Group) and England averages.

Similar charts are available for the total achievement results, the five individual domain results and the underlying achievement details for the individual indicators within each indicator group.

What this site can tell you

You can use this specially designed website to make specific searches on achievement in the following ways:

What this site cannot tell you