QOF · 2026/27

QOF — Quality & Outcomes Framework 2026/27

Last update

1 October 2026

Data source

Clinical system

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Indicator type

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PCN & Practice

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KPIs on target

1/36

35 below · 4 monitoring

Performance

56.9%

34 payment KPIs

Highest performing

VI004

85.8% · target 50–60% · +25.8%

470 / 548

Lowest performing

CHOL003

19.5% · target 70–95% · -75.5%

1,551 / 7,950

Most improved

—

Needs 2+ uploads

On target (1)Near target (7)Below target (26)No data (6)Mon= Monitoring only — no payment threshold

Indicator⇅	Target⇅	Target activity⇅	Performance %⇅	Activity⇅	Population⇅	Shortfall⇅	Status
Respiratory
AST007Asthma with review in last 12 months▸	45–70%	9,770	47.6%	6,641	13,957	3,129	Below
AST012Asthma with objective tests recorded▸	45–80%	802	68.1%	682	1,002	120	Near
COPD010COPD with review including exacerbations, breathlessness▸	50–90%	3,200	41.9%	1,490	3,555	1,710	Below
Cardiovascular
AF006Patients with AF and CHA2DS2-VASc score▸	40–95%	788	71.4%	592	829	196	Below
AF008Patients with AF and a CHA2DS2-VASc score>=2 on DOAC /Vit K antagonist▸	70–95%	1,558	29.6%	485	1,639	1,073	Below
BP002Patients aged 45 or over and blood pressure recorded▸	50–90%	85,628	88.4%	84,096	95,142	1,532	Near
CHD005CHD taking anti-platelet or anti-coagulant▸	56–96%	5,933	88.7%	5,482	6,180	451	Near
CHOL003Patients with CHD / PAD / TIA / CKD on statin/lipid-lowering therapy▸	70–95%	7,553	19.5%	1,551	7,950	6,002	Below
CHOL004Patients with LDL cholesterol <=2.0 or non-HDL <=2.6▸	20–50%	4,255	39.9%	3,398	8,510	857	Below
HF007Heart failure with review of functional capacity, medication▸	50–90%	1,594	23.9%	423	1,771	1,171	Below
HF008Heart failure diagnosis from 1 April 2023 with ECHO or specialist assess▸	50–90%	711	82.8%	654	790	57	Near
HF009HF patients on ACE-I/ARB/ARNI, beta-blocker, MRA and SGLT2 inhibitor FYMon▸	Monitoring	—	12.9%	39	302	—	Monitoring
HYP008Hypertension aged 79 or under BP 140/90 mmHg or less▸	40–85%	20,214	55.9%	14,671	26,251	5,543	Below
HYP009Hypertension aged 80 or over BP 150/90 mmHg or less▸	40–85%	1,674	58.7%	1,229	2,092	445	Below
STIA007Non-haemorrhagic stroke or TIA taking anti-platelet or anti-coagulant▸	57–97%	1,733	87.1%	1,556	1,786	177	Near
Dementia
DEM004Dementia and review done▸	35–70%	756	28%	302	1,079	454	Below
Mental Health
MH002Mental health and care plan documented▸	40–90%	3,853	34.2%	1,462	4,281	2,391	Below
MH003Mental health problems and BP recorded in the preceding 12 months▸	50–90%	4,003	59.6%	2,649	4,447	1,354	Below
MH006Mental health problems and BMI recorded in the preceding 12 months▸	50–90%	3,979	55.9%	2,471	4,421	1,508	Below
MH007Mental health problems and alcohol recorded in last 12 months▸	50–90%	3,991	54.1%	2,397	4,434	1,594	Below
MH011Mental health problems and lipids recorded in last 12 months▸	50–90%	3,981	56.2%	2,484	4,423	1,497	Below
MH012Mental health problems and glucose/Hba1c recorded in last 12 months▸	NIS	—	—	1,638	—	—	No data
Diabetes
DM006Diabetes and proteinuria or micro-albuminuria taking ACE-I or ARB▸	57–97%	2,692	30.3%	840	2,775	1,852	Below
DM014Newly diagnosed with diabetes referred to structured education programme▸	40–90%	712	65.1%	515	791	197	Below
DM020Diabetes no moderate/severe frailty IFCC-HbA1c is 58 mmol/mol or less▸	35–75%	15,973	40.2%	8,563	21,297	7,410	Below
DM021Diabetes with frailty IFCC-HbA1c is 75 mmol/mol or less▸	NIS	—	—	1,543	—	—	No data
DM034Diabetes aged >=40 no CVD/frailty on statin or lipid-lowering therapy▸	50–90%	10,904	20.3%	2,456	12,115	8,448	Below
DM035Diabetes with CVD (not haemorrhagic) on statin or lipid-lowering therapy▸	50–90%	5,652	40.2%	2,522	6,279	3,130	Below
DM036Diabetes no moderate/severe frailty BP 140/90 mmHg or less▸	38–90%	20,316	65%	13,606	20,944	6,710	Below
DM037Diabetes with care processes performed in last 12 months FYMon▸	Monitoring	—	47.1%	11,352	24,117	—	Monitoring
Vaccination & Immunisation
VI001Three or more DTaP vaccine doses before 8 months▸	89–96%	3,817	66.8%	2,654	3,976	1,163	Below
VI002One or more MMR doses aged 12-18 months▸	86–96%	3,805	67.4%	2,670	3,963	1,135	Below
VI003Aged 1-5 years with DTaP/IPV booster and at least 2 doses of MMR▸	81–96%	3,408	70.2%	2,492	3,549	916	Below
VI004Aged 80 with shingles vaccine received between 70-79 years▸	50–60%	329	85.8%	470	548	Met	Met
Cervical Screening
CS005Aged 25-49 adequate smear last 3 years and 6 months▸	45–80%	66,004	54.8%	45,252	82,504	20,752	Below
CS006Aged 50-64 adequate smear last 5 years and 6 months▸	45–80%	14,100	77.6%	13,672	17,625	428	Near
Smoking
SMOK002Chronic disease and smoking status recorded▸	50–90%	53,756	86%	51,374	59,728	2,382	Near
SMOK004Current smokers with an offer of support given▸	40–90%	41,837	73.6%	34,231	46,485	7,606	Below
Obesity
OB004Patients age >=18 with obesity referred to weight management FYMon▸	Monitoring	—	—	2,222	—	—	Monitoring
OB005Patients NICE TA1026 cohort,shared decision,meds,behavioural referral FYMon▸	Monitoring	—	—	7	—	—	Monitoring

Data as of 1 October 2026 · Clinical system · Refreshed weekly