The objective of the Quality and Outcomes Framework (QOF) is to improve the quality of care patients are given by rewarding practices for the quality of care they provide to their patients, based on a number of indicators across a range of key areas of clinical care and public health. This publication provides data for the reporting year 1 April 2019 to 31 March 2020 and covers all General Practices in England that participated in QOF in 2019-20.

Please note: the outbreak of coronavirus (COVID-19) in the last quarter of 2019-20 has led to unprecedented changes in the work and behaviour of GP practices and consequently the data in this publication may have been impacted.

As such, caution should be taken in drawing any conclusions from this data without due consideration of the circumstances both locally and nationally as of 31 March 2020 and we would recommend that any use of this data is accompanied by an appropriate caveat.

In a letter published on 19 March 2020 by NHS England and Improvement it was confirmed that the QOF 2019-20 year-end calculations were to be interrogated to ensure no GP practice is paid less than in the previous financial year. This means that the QOF achievement figures included within this publication may not reflect the figures used in final payments made to practices. Further details can be found on the NHS Digital QOF payments 2019-20 page.

20 August 2020: Revised ‘Changes in QOF recorded prevalence’ diabetes figure in Key Facts section. Updates to the diabetes data in the QOF Recorded Prevalence chart and accompanying underlying data on the Main Findings page. No other files in this publication were affected.

14 October 2020: Revised ‘ORGANISATON_REFERENCE’ csv file. 44 practices were missing from this file on original publication. This file has been updated to now include these practices. No other files in this publication were affected.