Overview

The 2025/26 GP contract introduces significant reforms to the Quality and Outcomes Framework (QOF), aiming to reduce administrative workload and shift the focus towards Cardiovascular Disease (CVD) prevention. This guide outlines the key QOF changes and their implications for GP practices.

See the bottom of this page to download:

1. A useful QOF planning spreadsheet which allows you to put in the numbers for your practice's performance and see how many patients you have left to achieve each of the current year's indicators
   
2. A printable crib sheet of codes used by QOF indicators
   
3. Slides from Q4 webinar on 27/01/2026
   

Key QOF Changes

1. 32 QOF indicators permanently retired, removing 212 reporting points.
   
2. £298m redistributed into the Global Sum and CVD prevention funding.
   
3. New QOF focus on CVD prevention, encouraging proactive patient management.
   
4. Minor changes to other indicators
   

Action Points:

1. Identify retired QOF indicators and adjust internal reporting practices.
   
2. Focus on CVD prevention to align with new funding streams.
   
3. Reduce unnecessary administrative burden by discontinuing removed indicators.
   

Redistribution of QOF Funding

1. Global Sum, increasing baseline funding for practices (71 points £100mn).
   
2. CVD prevention initiatives, shifting QOF incentives towards targeted health interventions (141 points £198mn).
   
3. Removal of register and other QOF indicators means funding is now more focused on tougher clinical areas.
   

Action Points:

1. Review how QOF income redistribution may affect practice budgets.
   
2. Implement strategies to meet new CVD-focused QOF targets.
   
3. Train clinical teams on the new funding structure and patient management strategies
   

New QOF Priorities: Cardiovascular Disease (CVD) Prevention

1. Stronger incentives for management of CVD risk factors.
   

Action Points:

1. Identify where achievement may be a challenge
   
2. Develop proactive CVD reviews for to ensure you hit the KPIs
   

Reduction in Admin & Reporting Burden

1. Elimination of 32 outdated QOF indicators reduces unnecessary reporting.
   
2. Less administrative workload for GP teams, allowing greater focus on direct patient care.
   
3. Shift towards outcome-based measures rather than just maintaining registers.
   

Action Points:

1. Review practice workflows and remove redundant QOF reporting requirements.
   
2. Ensure staff are aware of the administrative workload reduction.
   
3. Focus on delivering high-impact clinical interventions.
   

Next Steps

1. April 2025 – New QOF framework takes effect.
   

Immediate Actions:

1. Assess QOF funding impact on practice finances.
   
2. Adjust clinical workflows to focus on new QOF priorities.