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The QOF is the Quality and Outcomes Framework, a voluntary annual reward and incentive programme for all GP surgeries in England which is part of GP contracts. Results of GP practices' achievement against the QOF are published each year.
Main Topics/Subject Category
The QOF has five main components, known as domains. Each domain consists of a set of measures of achievement, known as indicators, against which practices score points according to their level of achievement; clinical, organisational, patient care experience, additional services and holistic care.
*Clinical: this domain consists of 80 indicators across 19 clinical areas (e.g. coronary heart disease, heart failure, hypertension) *Organisational: this domain consists of 43 indicators across five organisational areas - records and information; information for patients; education and training; practice management and medicines management *Patient care experience: this domain consists of four indicators that relate to length of consultations and to patient surveys *Additional services: this domain consists of eight indicators across four service areas which include cervical screening, child health surveillance, maternity services and contraceptive services *Holistic care: this domain is a measure of the breadth of care across the clinical domain.
GP reward, asthma, diabetes management, organisation, patient experience, child health, maternity service, indicator, incentive, holistic care
Identifier Variables
Economic/Subject Categories
Area of Health System
Primary care
Disease Area
Coronary heart disease, Heart failure, Hypertension
Data Available
Data collecting organization (s)
NHS information centre
Data Type
Coverage (date of field work)
2006, 2007, 2008
Unit of Analysis
Some GP surgeries in England. No information on sample size
NHS information centre
Conditions of Access
Free access
Ashworth M, et al. The relationship between social deprivation and the quality of primary care: a national survey using indicators from the UK Quality and Outcomes Framework. Br J Gen Pract 2007; 57(539): 441–448