NHS England has released guidance about the changes to QOF for 2020/21 due to COVID-19. The full guidance is attached. I have summarised the key points below:


Some indicators will continue to be paid on the basis of practice performance. These are:


  • The four flu indicators targeted on patients with coronary heart disease, COPD, stroke/TIA and diabetes – these indicators will have the number of points attached to them doubled.
  • The two cervical screening indicators, which will also have the number of points attached to them doubled.
  • QOF Disease Register indicators (i.e. your chronic disease registers must remain accurate).
  • Eight QOF indicators related to optimal prescribing of medications to manage long-term conditions (see the attachment for the detail on this).


The requirements of the Quality Improvement (QI) domain have been amended to focus upon care delivery and restoration of services (see the attached document for detail on this).


The remaining 310 points will be subject to income protection based upon historical practice performance and subject to practices agreeing an approach to QOF population stratification with their commissioner.


The total points available to practices will remain at 567 points and all payments will be subject to prevalence and list size adjustments.


If you require any further assistance on the process above, please contact Ardens-QMasters support on: support-emis@ardens.org.uk