NHS Digital is responsible for producing and maintaining the Quality and Outcomes Framework (QOF) business rules (extract specifications).
- Download the zip file containing the QOF v39 draft final business rules
- QOF v39 tracked changes showing draft business rules
- Download the QOF V39 draft expanded cluster list for publication
- Download the draft business rules change log v39.0
- Draft clinical code change log QOF v39
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.
The most recent business rules are available below in PDFs and zip folders. The tracked changes showing zip file folder shows the current version of the business rules with the changes applied from the earlier version visible. Earlier versions (before QOF v28.0) can be found on the Primary Care Commissioning website.
As well as the QOF business rules NHS Digital also produce and maintain business rules for Enhanced Services vaccination and immunisation programmes and certain parts of the GMS core contract. Open the 2018- 2019 services.
Earlier versions (before QOF v28.0) can be found on the Primary Care Commissioning website.
Guidance to all QOF can be found on the NHS Employers website.