The future of the Quality and Outcomes Framework in England.

10 Jul 2019

It’s time to rethink one of the most ambitious experiments in general practice To describe the Quality and Outcomes Framework (QOF)—one of the most ambitious pay-for-performance schemes introduced into any health system—as divisive would be an understatement. Launched in the UK in 2004 as a way of encouraging adherence to specified evidence based elements of general practice care, QOF has changed the nature of general practice in ways that have polarised those who work in the sector and external commentators.1