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Quality and Outcomes Framework (QOF), enhanced services and core contract extraction specifications (business rules)

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

Supporting information

Access the Primary Care Domain Reference Set Portal

The Reference Set Portal is an interactive tool which allows users to see which SNOMED codes are included in the current version of a reference set (refset)/cluster as used by the business rules.

Quality and Outcome Framework business rules

The QOF is a voluntary reward and incentive programme. It rewards GP practices, in England for the quality of care they provide to their patients and helps standardise improvements in the delivery of primary care.

Enhanced Services (ES), Vaccinations and Immunisations (V&I) and Core Contract (CC) components

NHS Digital have released the business rules for the enhanced services (ES), Vaccinations and immunisations (V&I) and Core Contract components (CC). This page will be updated as further ES, V&I and CC business rules become available.

Indicators no longer in QOF business rules

As part of the contractual agreement it was agreed to continue collecting information relating to indicators no longer in QOF (INLIQ). Indicators retired since 2014-2015 will continue to be collected under this extraction. The reporting is essential, as the Department of Health and Social Care, Public Health England and other healthcare groups have indicated that the information linked to these indicators is essential for their work and wider healthcare programmes.

Other extracts

Emergency COVID-19 data collections

GPES data for pandemic planning and research (COVID-19) - May and July 2020 business rules and expanded cluster list

This fortnightly patient level data collection is to respond to the intense demand for General Practice data to be shared in support of vital pandemic planning and research for COVID-19 purposes.

Coronavirus (COVID-19): At risk patients - March 2021 business rules and expanded cluster list

This weekly patient level data collection is an update to the Coronavirus (COVID-19): At risk patients extract and incorporates changes to clusters covering potentially clinically vulnerable groups.

Coronavirus (COVID-19): At risk patients - September 2020 business rules and expanded cluster list 

This weekly patient level data collection is an update to the Coronavirus (COVID-19): Shielded patients list extract and incorporates additional clusters covering potentially clinically vulnerable groups including clusters from the updated Seasonal Flu business rules.

Coronavirus (COVID-19): Shielded patients list - April 2020 business rules and expanded cluster list 

This weekly patient level data collection is being used to help inform the shielded patient list as part of the national COVID-19 response.

Coronavirus (COVID-19): Shielded patients list - March 2020 business rules and expanded cluster list

This first patient level data collection is based on the seasonal flu enhanced service business rules and was used to help inform the national COVID-19 response.

Cardiovascular Disease Prevention Audit (CVDPREVENT)

General practice to diabetic retinopathy screening (GP2DRS) system - diabetic eye screening programme

Evidence shows that early identification and treatment of diabetic eye disease could reduce sight loss. The main treatment for diabetic retinopathy is laser surgery. This service looks to identify those at risk of developing diabetic retinopathy.

Individual GP level data

The Government's mandate to NHS England includes a task of working with NHS Digital and The Department of Health (DH) to provide GPs and general practices with information on the care provision for their patients.

Learning Disabilities Data (LDD)

The LDD aims to:

  • make information about the health and healthcare for people with learning disabilities more readily available and understandable
  • undertake detailed secondary analyses of existing datasets to identify important new lessons for service improvement and development
  • share the learning by working to ensure that key messages about best practice in providing healthcare for people with learning disabilities are widely understood
  • improve available information by surveying data gaps and working to fill them.

Lipid management

The ruleset lays out how General Practice systems should search for specific clinical information in patient records. Firstly, the searches look for patients who already have cardiovascular disease and then filter out those whose lipid control is good; they then find those who have had difficulties with or have not wanted lipid lowering therapy in the past so that clinicians can consider what next steps to take, including offering one of the newer therapies.

For the remaining patients, the searches then determine which of the available treatment options (several high intensity stain and other non-statin alternatives) may be suitable, taking into account relevant factors such as allergies, current lipid levels and kidney function. The end result is a list of patients for each group of possible treatment options which can be used by practices to review patient records and then call patients for review.

There are 2 sets of business rules included in the zip file below. The difference is in the way they are structured, with the ‘New Style’ ones reducing some of the duplication of logic needed by the usual style business rules. System suppliers have the choice of using whichever business rules suit their set up.

Unlike with other business rules, data relating to this service is not collected by NHS Digital.


NHS Health Checks

NHS Digital, acting on behalf of Public Health England (PHE), will be collecting information about the numbers of people who are invited to an NHS Health Check and either attend or do not attend.

Physical health checks for people with severe mental illness (PHSMI)

PHSMI data extract collects information detailed on GP records for patients with severe mental illness and not recorded as ‘in remission’.

This collection helps to ensure that people with severe mental illness have their physical health needs met by monitoring the delivery of comprehensive physical health check, collects information on relevant follow-up interventions and to understand their physical health outcomes. 

Last edited: 8 June 2022 3:45 pm