QOF: Quality and Outcomes Framework

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System for performance management and payment of GPs  – with a focus on preventative medicine.

QOF contains four domains:

  • Clinical: 57 indicators across 20 clinical areas (e.g. chronic kidney disease, heart failure, hypertension)
  • Public health: five indicators across three clinical areas – blood pressure, obesity and smoking
  • Public health – additional services: two indicators related to cervical cancer screening
  • Quality improvement: four indicators related to early cancer diagnosis and care of people with learning disabilities.

They are changed regularly to change the emphasis of preventative medicine.

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