NHS England are currently conducting a review of the Quality and Outcomes Framework (QOF). One of the key areas for investigation is the potential impact of removing the incentives on the quality of care delivered in general practice. There is little evidence on the impact of removing financial incentives and the available evidence is inconclusive. There has been limited national monitoring of the consequences of the indicators that have been removed from the QOF in England in recent years.
This project aimed to analyse the effect of indicator removal in a large, nationally-representative cohort of patients whose care quality has been consistently recorded over time. The research provides intelligence on the likely patient impacts of changing existing incentives. This is key to understanding the risks of change, but also what the change in practice activity has been as a consequence of removing incentives.