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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 v42 2019-2020 baseline release

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

Page contents

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.

Last edited: 9 November 2021 5:29 pm