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Download the zip file containing the QOF v42 business rules tracked changes accepted version

Download the QOF v42 expanded cluster list

Download the QOF v42 business rules change log

Download the QOF v42 clinical code change log

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 above in zip folders. 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.

https://digital.nhs.uk/data-and-information/data-collections-and-data-sets/data-collections/quality-and-outcomes-framework-qof

Guidance to all QOF can be found on the NHS Employers website.

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