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Views And Reviews


BMJ 2017; 356 doi: (Published 29 March 2017) Cite this as: BMJ 2017;356:j1531
  1. Tom Nolan, GP partner
  1. London, UK
  1. tom{at}

Wanting to keep QOF doesn’t mean it doesn’t need reforming

The arguments to leave the Quality Outcomes Framework (QOF) have a familiar ring to them: it’s so big it can’t reform; we need to take back control; we should stop wasting money on bureaucracy and fund the NHS instead; what do the so called experts know about real life?

These seem to be working just as well for QOFxit as they did for Brexit.

All the noises from the government and the BMA suggest that QOFs days are numbered. If it ever comes to a QOFerendum, however, I’ll be voting to remain.

QOF is no Brussels. It isn’t the bureaucratic monster it once was. QOF data is easy to …

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