Review of Quality and Outcomes Frameworks (QOFs) in England – consultation response

We responded to NHS England in 2018 welcoming the opportunity for improving the QOF and describing its potential to improve the quality of care for children and young people.

The Quality and Outcomes Framework (QOF) is a voluntary annual reward and incentive programme for all GP surgeries in England, detailing practice achievement results. It is not about performance management but resourcing and then rewarding good practice. A review of the QOF was agreed with the British Medical Association as part of the 2017-18 contract negotiations and was also a commitment within the Next Steps of the 5 Year Forward View.

Our response

  • QOF can help drive improvements, particularly in three key areas:
    • to improve healthcare to better meet needs
    • to address childhood obesity
    • to improve monitoring of asthma in children.

Our recommendations

  • An integrated approach to data collection will result in more accurate and comparable data to analyse trends and provide an essential evidence base to inform the use of resources.
  • QOF provides opportunities to make children more visible so that they are more accurately ‘counted’ and included within incentive schemes in primary care.
  • New indicators could be used to integrate health prevention strategies into primary care, such as focusing on dental or maternal health. 

We respond to a wide range of consultations to ensure that the College’s position, and ultimately children’s health, is represented. Members can get involved in current consultations by contacting the Health Policy team: