QOF 2022-23 results

The Quality and Outcomes Framework (QOF) is a voluntary annual reward and incentive programme for all GP practices in England, detailing practice achievement results. It is not about performance management but resourcing and rewarding good practice.


The QOF contains five main components, known as domains. The five domains are: Clinical; Public Health and Public Health – Additional Services, Public Health – Vaccination and Immunisation and Quality Improvement. Each domain consists of a set of achievement measures, known as indicators, against which practices score points according to their level of achievement. The 2022-23 QOF measured achievement against 76 indicators; practices scored points based on achievement against each indicator, up to a maximum of 635 points.

The QOF gives an indication of the overall achievement of a practice through a points system. Practices aim to deliver high quality care across a range of areas for which they score points. The final payment is adjusted to take account of surgery workload, local demographics, and the prevalence of chronic conditions in the practice's local area.

NHS England has developed this online database to allow patients and the public easy access to the latest annual QOF data. NHS England is working to make information more relevant and accessible to patients and the public, regulators, health and social care professionals and policy makers, leading to improvements in knowledge and efficiency.

Understanding the results

Browse the online database to find the results for your local surgery.

Other searches will compare your local GP practice to other GP practices in the local area and the national results across England, but caution should be taken in interpreting the results, as explained below in “what this site cannot tell you”.

The online database provides easy access to comprehensive information on the pattern of common chronic diseases such as asthma, diabetes and coronary heart disease. In terms of scale, the data for QOF is collected from 6,378 (91.8%) GP practices with approximately 61 million registered patients in England.

The QOF helps practices compare the delivery and quality of care currently provided against the achievements of previous years. Ultimately, the aim is to improve standards of care by assessing and benchmarking the quality-of-care patients receive.

QOF 2022-23 changes

Payment protection that had been applied to indicators in the years 2022-21 and 2021-22 in response to the COVID-19 pandemic has been removed. Details of this can be found in a letter to practices.

Additional suppression has been applied this year resulting in PCAs for indicators where there is more than one PCA specified and the denominator is zero, being replaced by an *.

Additionally, the following changes to QOF indicators have been implemented in 2022-23:

The implementation and subsequent removal of payment protection and the changes to QOF indicators should be considered when comparing 2022-23 QOF data with QOF data for previous years.

Additional information can be found in the NHS England » Update on Quality Outcomes Framework changes for 2022/23 published by NHS England.

Example of the results

The sample of the output chart below shows the prevalence for some of the conditions for an individual GP practice.

Clinical Prevalence:
Image of prevalence chart showing example data for four conditions: a row on the chart details the percentage prevalence for the condition, it also includes a comparision to Sub ICB Location and England averages.

The sample of the output chart below shows the results for some of the clinical indicator groups for an individual GP practice.

The results for previous years are presented in the chart, which also displays the year's Sub Integrated Care Board Location (Sub ICB Location) and England averages.

Clinical Domain Indicator Groups:
Image of results chart showing example data for three clinical areas: a row on the chart details how many indicators make up the score for a clinical area, it includes the score as a percentage as well as the number of points achieved and comparision to Sub ICB Location and England averages.

Similar charts are available for the total achievement results, the individual domain results and the underlying achievement details for the individual indicators within each indicator group.

What this site can tell you

You can use this specially designed website to make specific searches on achievement for years prior to 2022-23 in the following ways:

For the 2020-21 reporting year, this functionality is restricted to disease prevalence only.

What this site cannot tell you

The QOF FAQs are available on the QOF publication page: