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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 v45.0 2020-2021 baseline release

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

QOF v45 Business rules

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.

Further information

Last edited: 5 March 2021 11:57 am