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Publication, Part of

Quality and Outcomes Framework, 2025-26

Official statistics

Publication Date:
27 Aug 2026
Geographic Coverage:
England
Geographical Granularity:
GP practices, Sub-Integrated Care Boards, Integrated Care Boards, Regions, Country
Date Range:
01 Apr 2025 to 31 Mar 2026

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Quality and Outcomes Framework, 2025-26

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Data quality annex
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Summary

The objective of the Quality and Outcomes Framework (QOF) is to improve the 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 2025 to 31 March 2026 and covers all General Practices in England that participated in QOF in 2025-26.

GP practices have been mapped to their respective Sub ICB Locations, ICBs and Regions using reference data current on 1 April 2026. This mapping has been applied to data for both the current and previous reporting year.

Key Facts

6,145 practices were included in the 2025-26 publication

Participation in QOF is voluntary, though participation rates are very high, with coverage of 98.3% this year

QOF recorded prevalence rates

Hypertension (15.8%), depression (14.9%) and obesity (14.3%) had the highest QOF recorded prevalence rates.

Changes in QOF recorded prevalence

Non-diabetic hyperglycaemia had the greatest change in QOF recorded prevalence, which was 0.7 percentage points higher than in 2024-25.

 Note - 2024-25 prevalence rates have been recalculated using data for practices included in QOF 2025-26 only.

Practice achievement

4,660 (75.8%) of practices achieved over 90% of the available QOF points.

Value of a QOF point

A QOF point had a value of £225.49, an increase of 2.2% compared to 2024-25

Personalised care adjustments rates

The chronic obstructive pulmonary disease indicator group had the highest personalised care adjustment (PCA) rate at 28.5%. Smoking had the lowest PCA rate at 1.8%.

Resources

QOF 2025-26: Prevalence, achievement and personalised care adjustments at regional and national level

xlsx 314 KB

QOF 2025-26: Prevalence, achievement and personalised care adjustments at ICB level

xlsx 535 KB

QOF 2025-26: Prevalence, achievement and personalised care adjustments at Sub ICB Location level

xlsx 910 KB

QOF 2025-26: Prevalence, achievement and personalised care adjustments, cardiovascular group, at GP practice level

xlsx 11 MB

QOF 2025-26: Prevalence, achievement and personalised care adjustments, respiratory group, at GP practice level

xlsx 3 MB

QOF 2025-26: Prevalence, achievement and personalised care adjustments, lifestyle group, at GP practice level

xlsx 2 MB

QOF 2025-26: Prevalence, achievement and personalised care adjustments, high dependency and other long-term conditions group, at GP practice level

xlsx 7 MB

QOF 2025-26: Prevalence, achievement and personalised care adjustments, mental health and neurology group, at GP practice level

xlsx 6 MB

QOF 2025-26: Prevalence, achievement and personalised care adjustments, musculoskeletal group, at GP practice level

xlsx 1 MB

QOF 2025-26: Prevalence, achievement and personalised care adjustments, fertility, obstetrics and gynaecology group, at GP practice level

xlsx 1 MB

QOF 2025-26: Prevalence, achievement and personalised care adjustments, vaccination and immunisation group, at GP practice level

xlsx 2 MB

QOF 2025-26: Achievement at practice level, all domains

xlsx 4 MB

QOF 2025-26: Personalised care adjustments at practice level, all domains

xlsx 5 MB

QOF 2025-26: Raw data .csv files

zip 8 MB

Pre-Release Access List

pdf 107 KB
ARTICLE

QOF business rules

Last edited: 27 August 2026 9:41 am