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Quality and Outcomes Framework is a voluntary incentive scheme that aims to reward GP practices for implementing systematic improvements in quality of care. Data relating to QOF achievement falls under four main components known as domains: clinical domain, organisational domain, patient experience domain, additional services domain.

Main Topics/Subject Category
Data is split into 4 domains: clinical (or disease), organisational, patient experience, additional services

Clinical domain , organisational domain, patient experience, additional services provided, prevalence.

Records, information, education, management, medicines, coronary heart disease, stroke, diabetes, heart failure, hypertension, epilepsy, thyroid, cancer, asthma, dementia, obesity, smoking, lung disease, depression, palliative care, chronic obstructive pulmonary disease, atrial fibrillation, learning disabilities, screening, contraceptive, cervical screening, child health surveillance
Identifier Variables
SHA, PCT, practice postcode
Economic/Subject Categories
Area of Health System
Primary care
Data Available
Data collecting organization (s)
NHS information centre
Data Type
Coverage (date of field work)
2004, 2005, 2006, 2007, 2008
Unit of Analysis

Sample size depends on number of practices in each SHA. For example, Norfolk, Suffolk and Cambridgeshire SHA have 298 practices while North West London SHA has 434 practices.

Conditions of Access
Free access
Tel: 01223330346
Bottle A, et al. Association Between Quality of Primary Care and Hospitalization for Coronary Heart Disease in England: National Cross-sectional Study. Journal of General Internal Medicine 2008; 23(2) 135-141