QOF · 2026/27
QOF — Quality & Outcomes Framework 2026/27
Last update
22 September 2026
Data source
Clinical system
Refresh
Weekly · live
Next refresh
Auto · weekly
KPIs on target
1/36
35 below · 4 monitoring
Performance
54.7%
34 payment KPIs
Highest performing
VI004
85.8% · target 50–60% · +25.8%
470 / 548
Lowest performing
CHOL003
15.2% · target 70–95% · -79.8%
1,210 / 7,947
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% | 9,731 | 45.5% | 6,321 | 13,901 | 3,410 | Below | |||||
| AST012Asthma with objective tests recorded▸ | 45–80% | 773 | 68.4% | 661 | 966 | 112 | Near | |||||
| COPD010COPD with review including exacerbations, breathlessness▸ | 50–90% | 3,204 | 40.2% | 1,430 | 3,560 | 1,774 | Below | |||||
| Cardiovascular | ||||||||||||
| AF006Patients with AF and CHA2DS2-VASc score▸ | 40–95% | 769 | 70.7% | 572 | 809 | 197 | Below | |||||
| AF008Patients with AF and a CHA2DS2-VASc score>=2 on DOAC /Vit K antagonist▸ | 70–95% | 1,548 | 20.1% | 328 | 1,629 | 1,220 | Below | |||||
| BP002Patients aged 45 or over and blood pressure recorded▸ | 50–90% | 85,661 | 88.3% | 84,024 | 95,178 | 1,637 | Near | |||||
| CHD005CHD taking anti-platelet or anti-coagulant▸ | 56–96% | 5,928 | 88.6% | 5,470 | 6,174 | 458 | Near | |||||
| CHOL003Patients with CHD / PAD / TIA / CKD on statin/lipid-lowering therapy▸ | 70–95% | 7,550 | 15.2% | 1,210 | 7,947 | 6,340 | Below | |||||
| CHOL004Patients with LDL cholesterol <=2.0 or non-HDL <=2.6▸ | 20–50% | 4,258 | 37.7% | 3,211 | 8,516 | 1,047 | Below | |||||
| HF007Heart failure with review of functional capacity, medication▸ | 50–90% | 1,589 | 21.9% | 387 | 1,765 | 1,202 | Below | |||||
| HF008Heart failure diagnosis from 1 April 2023 with ECHO or specialist assess▸ | 50–90% | 701 | 82.9% | 645 | 778 | 56 | Near | |||||
| HF009HF patients on ACE-I/ARB/ARNI, beta-blocker, MRA and SGLT2 inhibitor FYMon▸ | Monitoring | — | 8% | 23 | 288 | — | Monitoring | |||||
| HYP008Hypertension aged 79 or under BP 140/90 mmHg or less▸ | 40–85% | 20,207 | 54.1% | 14,194 | 26,242 | 6,013 | Below | |||||
| HYP009Hypertension aged 80 or over BP 150/90 mmHg or less▸ | 40–85% | 1,685 | 56.8% | 1,196 | 2,106 | 489 | Below | |||||
| STIA007Non-haemorrhagic stroke or TIA taking anti-platelet or anti-coagulant▸ | 57–97% | 1,727 | 87% | 1,549 | 1,780 | 178 | Near | |||||
| Dementia | ||||||||||||
| DEM004Dementia and review done▸ | 35–70% | 757 | 26.2% | 283 | 1,081 | 474 | Below | |||||
| Mental Health | ||||||||||||
| MH002Mental health and care plan documented▸ | 40–90% | 3,864 | 32.1% | 1,378 | 4,293 | 2,486 | Below | |||||
| MH003Mental health problems and BP recorded in the preceding 12 months▸ | 50–90% | 3,994 | 57.2% | 2,540 | 4,437 | 1,454 | Below | |||||
| MH006Mental health problems and BMI recorded in the preceding 12 months▸ | 50–90% | 3,978 | 53.5% | 2,364 | 4,420 | 1,614 | Below | |||||
| MH007Mental health problems and alcohol recorded in last 12 months▸ | 50–90% | 3,987 | 51.8% | 2,294 | 4,429 | 1,693 | Below | |||||
| MH011Mental health problems and lipids recorded in last 12 months▸ | 50–90% | 3,974 | 54% | 2,386 | 4,415 | 1,588 | Below | |||||
| MH012Mental health problems and glucose/Hba1c recorded in last 12 months▸ | NIS | — | — | 1,534 | — | — | No data | |||||
| Diabetes | ||||||||||||
| DM006Diabetes and proteinuria or micro-albuminuria taking ACE-I or ARB▸ | 57–97% | 2,691 | 22.7% | 631 | 2,774 | 2,060 | Below | |||||
| DM014Newly diagnosed with diabetes referred to structured education programme▸ | 40–90% | 685 | 62.5% | 476 | 761 | 209 | Below | |||||
| DM020Diabetes no moderate/severe frailty IFCC-HbA1c is 58 mmol/mol or less▸ | 35–75% | 15,993 | 38.4% | 8,182 | 21,323 | 7,811 | Below | |||||
| DM021Diabetes with frailty IFCC-HbA1c is 75 mmol/mol or less▸ | NIS | — | — | 1,478 | — | — | No data | |||||
| DM034Diabetes aged >=40 no CVD/frailty on statin or lipid-lowering therapy▸ | 50–90% | 10,918 | 16.2% | 1,965 | 12,131 | 8,953 | Below | |||||
| DM035Diabetes with CVD (not haemorrhagic) on statin or lipid-lowering therapy▸ | 50–90% | 5,614 | 29.1% | 1,817 | 6,237 | 3,797 | Below | |||||
| DM036Diabetes no moderate/severe frailty BP 140/90 mmHg or less▸ | 38–90% | 20,317 | 62.7% | 13,135 | 20,945 | 7,182 | Below | |||||
| DM037Diabetes with care processes performed in last 12 months FYMon▸ | Monitoring | — | 44.3% | 10,693 | 24,121 | — | Monitoring | |||||
| Vaccination & Immunisation | ||||||||||||
| VI001Three or more DTaP vaccine doses before 8 months▸ | 89–96% | 3,820 | 64.4% | 2,561 | 3,979 | 1,259 | Below | |||||
| VI002One or more MMR doses aged 12-18 months▸ | 86–96% | 3,815 | 65.3% | 2,594 | 3,973 | 1,221 | Below | |||||
| VI003Aged 1-5 years with DTaP/IPV booster and at least 2 doses of MMR▸ | 81–96% | 3,408 | 70.2% | 2,491 | 3,549 | 917 | 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% | 65,879 | 54.6% | 44,973 | 82,348 | 20,906 | Below | |||||
| CS006Aged 50-64 adequate smear last 5 years and 6 months▸ | 45–80% | 14,099 | 77.4% | 13,634 | 17,623 | 465 | Near | |||||
| Smoking | ||||||||||||
| SMOK002Chronic disease and smoking status recorded▸ | 50–90% | 53,867 | 85.1% | 50,922 | 59,852 | 2,945 | Near | |||||
| SMOK004Current smokers with an offer of support given▸ | 40–90% | 41,778 | 73.5% | 34,135 | 46,420 | 7,643 | Below | |||||
| Obesity | ||||||||||||
| OB004Patients age >=18 with obesity referred to weight management FYMon▸ | Monitoring | — | — | 2,074 | — | — | Monitoring | |||||
| OB005Patients NICE TA1026 cohort,shared decision,meds,behavioural referral FYMon▸ | Monitoring | — | — | 7 | — | — | Monitoring | |||||
Data as of 22 September 2026 · Clinical system · Refreshed weekly