Quality and Outcomes Framework (QOF) – 2015-16


This Quality and Outcomes Framework (QOF) publication provides data for the reporting year 1 April 2015 to 31 March 2016. The QOF was introduced as part of the new General Medical Services (GMS) contract on 1 April 2004. The objective of the QOF is to improve the quality of care patients are given by rewarding practices for the quality of care they provide to their patients. The Calculating Quality Reporting Service (CQRS), together with the General Practice Extraction Service (GPES) were used for the extraction of QOF data. There have been changes to QOF coding and indicators. These are referred to throughout this publication. Consideration must be given to changes to indicators and their definitions each year when interpreting differences and comparing data from one year to the next.

Key facts

  • QOF recorded prevalence – Recorded prevalence for 2015-16 is presented for 7,619 general practices in England.
  1.  The highest prevalence rates are for Hypertension (13.8 per cent), Obesity (9.5 per cent) and Depression (8.3 per cent).
  2. Hypertension (7.9 million), Obesity (4.3 million) and Depression (3.8 million) are the conditions reporting the highest register numbers.
  3. The largest year on year differences in register numbers are in Depression (increase of 470,168) and Obesity (increase of 132,222).
Image source: NHS Digital
  •  QOF achievement  – Achievement data for 2015-16 shows that:
  1.  The average achievement score for practices was 532.9 points out of 559
  2. The highest levels of achievement were for Obesity and Chronic Kidney Disease where 99.9 per cent was achieved. The lowest level of achievement was in Osteoporosis at 87.5 per cent.
  3. 640 practices achieved the maximum of 559 points. In 2014-15 there were 448 practices which achieved the maximum of 559 points.
  •  QOF exceptions – Exceptions data for 2015-16 show that:
  1.  The condition with the highest percentage of exceptions is Cardiovascular Disease at 31.3 per cent overall
  2. The measure with the lowest percentage of exceptions is Blood Pressure at 0.5 per cent overall.

Read the full overview here

Read the full report here


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