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Publication, Part of

Quality and Outcomes Framework, 2021-22

Official statistics

Current Chapter

Quality and Outcomes Framework, 2021-22

Integrated Care Boards

Integrated Care Boards (ICBs) were established as statutory bodies from 1st July 2022, consequently this publication no longer presents data at CCG and STP level. From July 2022 onwards, data will be aggregated to Sub ICB Location, and ICB level. For further information on these changes please see Related Links.


1 July 2022 00:00 AM

Indicator definition correction

The description for indicator CAN004 in the QOF 2021-22:Indicator definitions file has been updated to correspond to the Quality and Outcomes Framework Guidance for 2021/22.

12 October 2022 14:12 PM

Prevalence csv updated

The Prevalence csv file has been updated to include GP practices register count as zero where no register count was provided.

18 October 2022 11:02 AM


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 several indicators across a range of key areas of clinical care and public health. This publication provides data for the reporting year 1 April 2021 to 31 March 2022 and covers all General Practices in England that participated in QOF in 2021-22.

Due to the impact of the COVID-19 pandemic on activity in general practice, payment protection has been applied to the QOF service and may affect QOF activity and/or its recording for the following years:

• 2021-22 QOF service – practices were advised in December 2021 that payment protection would be applied.

• 2020-21 QOF service - practices were advised at the beginning of the reporting year that payment protection would be applied.

NHS England and Improvement published information about the implementation of QOF payment protection in the Guidance for General Medical Services Contract document for 2020-21 and in a letter to practice for 2021-22.

Achievement and Personalised Care Adjustment (PCA) data have been re-introduced to the Excel summary tables for the 2021-22 reporting year.

GP practices have been mapped to their respective PCNs, Sub ICB Locations , ICBs and Regions using reference data current on 7 July 2022. This mapping has been applied to data for both the current and previous reporting year.

Key Facts

6,470 practices included in the 2021-22 publication

Participation in QOF is voluntary, though participation rates are very high, with coverage of 97.5% this year.

QOF recorded prevalence rates

Hypertension (14.0%), depression (12.7%) and obesity (9.7%) had the highest QOF recorded prevalence rates.

Changes in QOF recorded prevalence

Obesity had the greatest change in QOF recorded prevalence, which was 2.8 percentage points higher than in 2020-21.

(Note - 2020-21 prevalence rates have been recalculated using data for practices included in QOF 2021-22 only)

Average practice achievement score

582.4 was the average practice achievement score (out of a maximum of 635).

Proportion of practices achieving maximum score

1.5% of practices achieved a maximum score of 635 points, compared with 6.2% of practices in 2020-21 who achieved a maximum score (567 points).  

New Indicator group

Vaccination and Immunisation was introduced this year with 8.1% of practices achieving a maximum score of 64 points.

Value of a QOF point

A QOF point had a value of £201.16, an increase of 3.2% compared to 2020-21.

Personalised care adjustment rates

Depression indicator group had the highest personalised care adjustment (PCA) rate at 18.9%. Blood Pressure had the lowest PCA rate at 0.7%.


Last edited: 18 October 2022 11:05 am