2015/16 GMS Contract Quality and Outcomes Framework
The Quality and Outcomes Framework (QOF) rewards contractors for the provision of quality care and helps to standardise improvements in the delivery of primary medical services. Contractor participation in QOF is voluntary.
Changes to QOF are agreed as part of wider changes to the General Medical Services (GMS) contract. Changes to the GMS contract are
negotiated annually by NHS Employers (on behalf of NHS England) and the British Medical Association (BMA) General Practitioners Committee (GPC).