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The Quality and Outcomes Framework in England (QOF) (our position)

We recommend that the Quality and Outcomes Framework (QOF) should be retained in England.

The QOF provides financial incentives to GP practices for the provision of quality clinical care. It has driven significant improvements for diabetes, both in terms of treatment and data collection. However, the future of QOF is currently under review.

In our position statement (PDF, 91KB) we recommend what should be considered when developing a reformed QOF, in order to support more person-centred care and to avoid perverse incentives. It needs to reflect the fact that the nature of primary care and the population of people with diabetes is changing.

We explain what the evidence tells us about the association between the introduction of QOF and improvements in measures of diabetes care. The removal of QOF indicators carries a high level of risk that there will be a corresponding decline in measures of diabetes care.

If QOF is withdrawn and replaced, the alternative must sustain quality improvements in diabetes care and continue to support data collection. 

This position statement concerns the situation in England only.

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