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Quality and Outcomes Framework (QOF) business rules v46.0 2021-2022 baseline release

NHS Digital is responsible for producing and maintaining the Quality and Outcomes Framework (QOF) business rules (extract specifications).

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QOF v46 Business rules

QOF indicators can change every year, and new measures and indicators are either introduced or retired. The QOF is not about performance management but resourcing and then rewarding best practice. QOF is part of the General Medical Services (GMS) contract for general practice and was introduced on 1 April 2004.

Download the zip file containing the QOF v46.0 business rules

zip 4 MB

Download the QOF v46.0 expanded cluster list

xlsm 1 MB

Further information

internal Primary care business rules

NHS England is responsible for producing and maintaining the extraction specification (business rules) for Enhanced Services (ES), Quality and Outcomes Framework (QOF), Vaccinations and Immunisations V&I, certain elements of Core Contact (CC) and other services commissioned by the Department of Health and Social Care.

Last edited: 6 June 2023 1:59 pm