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 v41 business rules tracked changes version
Download the zip file containing the QOF v41 business rules tracked changes accepted version
Download the QOF v41 expanded cluster list for publication
Download the business rules change log v41
Download the clinical code change log QOF v41

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.

Related pages

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.

• NHS Employers GMS QOF framework
• NHS Employers General Medical Services