The Quality and Outcomes Framework (QOF) rewards contractors for the provision of quality care and helps to standardise improvements in the delivery of primary medical services. Contractor participation in QOF is voluntary. QOF was introduced as part of the new GMS contract in 2004.

From May 2006, evidence was provided by an ‘expert panel’, coordinated by a consortium of academic bodies, including the Universities of Birmingham and Manchester, which informed negotiations between NHS Employers, on behalf of the four UK health departments and the General Practitioners Committee (GPC) of the British Medical Association (BMA) on what changes should be made to the QOF each year.

The National Institute for Health and Clinical Excellence (NICE) became responsible for managing an independent and transparent approach to developing the QOF clinical and health improvement indicators from April 2009.

Since April 2014 there has been a move away from National UK negotiation to a QOF which is specific for Scotland. Current changes to the QOF for Scotland can be viewed in the LMC library below.

For assistance and advice regarding achievement and evidence for QOF please contact the LMC office and ask to speak to one of the LMC secretaries.

QOF library