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Publication, Part of

Quality and Outcomes Framework, 2019-20

Official statistics

Current Chapter

Quality and Outcomes Framework, 2019-20


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.

6,720 practices included in the 2019-20 publication

Participation in QOF is voluntary, though participation rates are very high, with coverage of 96.2% this year.

QOF recorded prevalence rates

The highest rates were for hypertension (14.1%), depression (11.6%) and obesity (10.5%).

Changes in QOF recorded prevalence

The greatest change in QOF recorded prevalence was for depression, which was 0.8 percentage points higher than in 2018-19.

(Note - 2018-19 prevalence rates have been recalculated using data for practices included in QOF 2019-20 only)

Average practice achievement score

533.9 was the average practice achievement score (out of a maximum of 559).

Proportion of practices achieving maximum score

7.3% of practices achieved a maximum score of 559 points, compared with 13.0% of practices in 2018-19.

Value of a QOF point

Each QOF point had a value of £187.74, an increase of 4.7% compared to 2018-19.

Personalised care adjustment rates

The cardiovascular disease - primary prevention indicator group had the highest personalised care adjustment (PCA) rate at 31.4%. Blood pressure had the lowest PCA rate at 0.7%.


Last edited: 19 October 2020 7:29 am