QOF 2020-21 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.

QOF

The QOF contains four main components, known as domains. The four domains are: Clinical; Public Health and Public Health – Additional Services 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 2020-21 QOF measured achievement against 68 indicators; practices scored points based on achievement against each indicator, up to a maximum of 567 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 Digital has developed this online database to allow patients and the public easy access to the latest annual QOF data. NHS Digital 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 are collected from 6,571 GP practices with approximately 60 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 2020-21 changes

This website includes prevalence data only for QOF 2020-21, as the changes outlined below mean that the achievement and personalised care adjustment (PCA) data extracted for the 2020-21 reporting year could be misleading and not representative of activity undertaken, and any comparisons with data from previous years are not recommended. The 2020-21 achievement and PCA data are not published on this website; they are available in the .csv files included in the 2020-21 QOF publication.

To support the ongoing response to COVID-19 and the need to proactively target and support the most vulnerable patients during this period the following changes have been implemented in 2020-21:

Additional information can be found in the Guidance for GMS contract 2020/21 in England published by NHS England and NHS Improvement and GOV.UK - general medical services statement of financial entitlements (amendment) directions 2021.

Example of the results

The sample of the output chart below shows the prevalence for some of the conditions for an individual GP practice. The latest 2020-21 results include prevalence only.

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 CCG 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 Clinical Commissioning Group (CCG) 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 CCG 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 2020-21 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:
digital.nhs.uk/data-and-information/publications/statistical/quality-and-outcomes-framework-achievement-prevalence-and-exceptions-data/2020-21/frequently-asked-questions