The Quality and Outcomes Framework (QOF) is a voluntary annual reward and incentive programme for GP practices in England, rewarding good clinical practice across a range of indicators.

How is QOF payment calculated?

QOF payment is based on the number of points achieved multiplied by the national point value, adjusted for your practice list size using the Adjusted Population Prevalence method (APCA).

Is this QOF calculator official?

This is an independent estimation tool for planning purposes. Always refer to NHS England's official QOF guidance for confirmed figures.

Your practice

Enter a few details about your practice. These are used to estimate your QOF income and personalise the results.

1 Practice details

Practice name

Registered list size Your total number of registered patients. Used to give context to achievement numbers.

2 QOF payment per point

How QOF income is calculated: Each QOF point your practice earns is worth a cash amount that depends on your practice list size and prevalence. NHS England publish the exact value after year-end. This tool uses an estimated value — the national average for 2026/27 is approximately £213 per point for an average-sized practice. You can adjust this if you have a more accurate figure from your ICB.

Estimated value per QOF point (£) Pre-filled with the national average estimate. Adjust to match your practice size — larger practices earn slightly more per point.

Total QOF points available The total number of QOF points your practice can earn in 2026/27. Pre-filled with the 2026/27 total (estimated — includes new indicators).

2026/27 changes to QOF: New indicators have been added for diabetes (8 NICE care processes, gestational diabetes), obesity (referral to weight management, pharmacotherapy), and heart failure (4-pillar therapy for HFrEF). The AF upper threshold has increased to 95%. Asthma now includes patients aged 5 and over. Indicators marked New or Changed reflect these updates.

Enter your achievement

Enter the percentage of eligible patients who met each indicator. The tool calculates your QOF points and estimated income in real time.

How the calculation works: Each indicator has a lower threshold (below which you earn no points) and an upper threshold (at which you earn full points). Your points are scaled proportionally between the two. For example, if an indicator has thresholds of 40–80% and you achieve 60%, you earn 50% of the available points.

Points earned

of 0 available

Estimated income

£0

At your £/point rate

Points left on table

Potential additional income

Overall achievement

—

Points earned / available

Your QOF results

Your estimated QOF achievement and income for 2026/27, with a domain breakdown and opportunity analysis.

Points earned

—

of 0 available

Estimated QOF income

£—

At £213/point

Overall achievement

—

Points earned / available

Maximum potential

£—

If all indicators at upper threshold

↑ Top opportunities — where to focus

These are the three indicators where achieving the upper threshold would earn your practice the most additional income. Use this to focus your improvement efforts.

Enter achievement percentages in Step 2 to see opportunities here.

↓ Achievement by domain

Clinical domain	Points available	Points earned	Achievement	Estimated income
Total	—	—	—	—

↓ Indicator detail

Code	Indicator	Pts available	Achievement %	Pts earned	Income est.

Export your results

Download your QOF achievement estimate for board reports or planning meetings.

Points earned

—

Estimated income

£—

Achievement

—

Practice

—

↓ Export options

Download for finance reports, board papers or improvement planning.

— or get a premium report by email —

Important: This is an estimate based on the 2026/27 QOF indicator set and your entered achievement percentages. Actual QOF income depends on your practice's registered prevalence, list size weighting, and the per-point value confirmed by NHS England at year end. Indicators marked Estimated use carryover point values from 2025/26. Always verify with your ICB and practice manager.

About this calculator

The Quality and Outcomes Framework (QOF) is the voluntary annual incentive programme for GP practices in England, rewarding achievement across clinical, public health, and population health indicators. This free estimator helps practice managers, GPs, and PCN teams forecast their QOF income for 2025/26 before the end-of-year reconciliation.

Enter your practice’s expected point achievement by domain and your registered list size to calculate your estimated QOF payment. The calculator applies the current national point value and Adjusted Population Prevalence (APCA) methodology used by NHS England.

QOF domains covered

Clinical domain — the largest domain, covering chronic disease management across conditions including diabetes, hypertension, asthma, COPD, cardiovascular disease, mental health, and cancer
Public health domain — including cervical screening, child immunisations, and blood pressure management in adults
Health inequalities domain — introduced in recent contract years to reward practices reducing inequalities in care access and outcomes

QOF achievement data is submitted annually via the CQRS system. Use this tool for in-year planning and income forecasting. For confirmed payment figures, refer to your NHS England CQRS dashboard and the published QOF guidance at NHS England. This tool is maintained by orgcentral.app.