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Creating a new NHS England: NHS England and NHS Digital merged on 1 February 2023. More about the merger.

Quality and Outcomes Framework (QOF) business rules v 41 2018-2019 October code release

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

Business rules, change logs and expanded cluster list

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 zip folders. Earlier versions (before QOF v28.0) can be found on the Primary Care Commissioning website.


Last edited: 8 September 2022 12:04 pm