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QOF guidance

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Find the latest changes to the Quality and Outcomes Framework (QOF) by nation:

England

QOF guidance 9th revision 2016-2017

Detailed QOF guidance for England, including a summary of the indicator changes of the indicator wording, points and thresholds, has now been published.

Wales

QOF guidance for the GMS contract 2015-16 (PDF)

Summary of changes and detailed guidance can be found at the Welsh GP contract changes 2015-2017

Scotland

Guidance on the new contract arrangements from 1 April 2016

In Scotland, as of 1 April 2016 QOF has been dismantled, the remaining points have been retired and the funding has been moved to global sum. QOF data will no longer be extracted for payment purposes but it will continue to be available to practices for their own internal processes.

Northern Ireland

For information about QOF for Northern Ireland, please get in contact with NIGPC.

 

QOF values

The value per QOF point for 2016-2017:

  • England: £165.18
  • Wales: £160.40 (this is the 2015-16 value; we are awaiting updates for any amendment for 2016-17)
  • Scotland has dismantled QOF with the funds being diverted into the Global Sum
  • Northern Ireland: £159.00 (this is the 2015-16 value; we are awaiting updates for any amendment for 2016-17)

 

QOF guidance 2016-2017 (9th revision)

The General Practitioners Committee (GPC) and NHS Employers (on behalf of NHS England) have agreed minor changes to the Quality and Outcomes Framework (QOF) for 2016-17.

These changes are:

  • An adjustment to the value of a QOF point taking account of population growth and relative changes in practice list size from 1 January 2015 to 1 January 2016. The national average list size as of 1 January 2016 is 7460 and the value of a QOF point for 2016/17 will be £165.18.
  • No changes to thresholds for 2016/17, with planned changes being deferred for one year to 1 April 2017.
  • No changes to QOF indicators.

Although no indicators have been retired for this year, it is expected that practices will continue to undertake work and code activity as clinically appropriate in relation to those indicators no longer in QOF.

 

Other changes to QOF

Indicator timeframes in Business Rules

It has been agreed to convert timeframes in the Business Rules from months to days. This relates to indicators where an activity is due within a specified timeframe.

We agreed to convert this type of timeframe scenario to a number of days using 31 days per month. This change will apply to the Business Rules only, timeframes in indicator wording will remain how they are currently written.

This will not apply to year end exclusions as they are based on three months from a known fixed date of 31 March each year (recent diagnosis, recent registration etc).

New indicators to be added to the NICE menu for the QOF and amendments to existing indicators (PDF)

 

Supporting information and related pages

Get further details about QOF including details of the business rules process from NHS Employers

Get the annual QOF results and business rules from the NHS Information Centre for Health and Social Care

Previous revisions of QOF guidance