Quality and Outcomes Framework

How it works

Risks & contraindications

Comparisons

Highlighted claims

• QOF thresholds for the full SMI physical health check were set at 60–75% of eligible patients for 2024–25, yet NHS England planning guidance made no explicit reference to SMI physical health check targets. — Bridging the gap in the UK’s National Health Service integrated care systems: insights from a mixed methods implementation evaluation of UCLP-PRIMROSE, a care innovation to reduce physical health inequalities for people with severe mental illness
• QOF incentivisation of annual physical health checks produced an unintended consequence, concentrating resources on achieving screening volume targets at the expense of holistic care. — Bridging the gap in the UK’s National Health Service integrated care systems: insights from a mixed methods implementation evaluation of UCLP-PRIMROSE, a care innovation to reduce physical health inequalities for people with severe mental illness
• QOF incentivisation is useful for establishing a screening baseline but inadvertently disincentivises non-targeted preventive and holistic care. — Bridging the gap in the UK’s National Health Service integrated care systems: insights from a mixed methods implementation evaluation of UCLP-PRIMROSE, a care innovation to reduce physical health inequalities for people with severe mental illness
• Participants drew a clear distinction between measuring health parameters (e.g., recording blood glucose) and actually intervening to improve them (e.g., reducing blood glucose). — Bridging the gap in the UK’s National Health Service integrated care systems: insights from a mixed methods implementation evaluation of UCLP-PRIMROSE, a care innovation to reduce physical health inequalities for people with severe mental illness