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 Service1 (CQRS), together with the General Practice Extraction Service2 (GPES) was used for the extraction of QOF data.
There have been many 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.
Achievement information is based on practice level achievement against primary care indicators. Prevalence figures are based on numbers of patients on GP clinical registers for specific conditions. Exceptions data presents information on numbers of patients with specific clinical conditions who are not included in QOF indicator data used to measure achievement. There are a number of criteria to determine exception reported patients. All data are presented at GP practice, PCT, SHA and England.