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Message: <blockquote data-quote="KennyA" data-source="post: 2678466" data-attributes="member: 517579">[URL unfurl="true"]https://www.england.nhs.uk/long-read/quality-and-outcomes-framework-guidance-for-2023-24/[/URL]Here we go - this is the second version, updated in January 2024 (published 30 January and updated 31 January makes it look like they missed an error somewhere). [edited to note that there are many interesting things hidden on the NHS England website, but they can be hard to find unless you know exactly what you're looking for]Unfortunately it's definitely not an "at a glance" document. All the indicators are in the early sections. If you want to see the internal workings, follow the link through to the <a href="https://www.gov.uk/government/publications/nhs-primary-medical-services-directions-2013" target="_blank">Statement of Financial Entitlements Directions (SFE)</a>, which give the legal power to make payments to GPs for doing particular things (and not doing other things). An earlier version, now twenty years old, has my fingerprints on it.The GP representatives are increasingly fed up with QOF (it was first introduced in the new GP contract in 2003) and in the 23/24 negotiations wanted to scrap it entirely. This was not accepted and NHS England imposed the arrangements (rather than agreeing them).GPs are anti-QOF because the QOF is all about earning points by practices doing things.  The GP view is that target chasing gets in the way of good patient care.  Many patients have noticed this too.</blockquote>

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