Intended for healthcare professionals

Letters Future of Quality and Outcomes Framework

Adapting QOF to focus on wellbeing and health

BMJ 2017; 359 doi: (Published 04 December 2017) Cite this as: BMJ 2017;359:j5541
  1. James Close, research fellow1,
  2. Jose M Valderas, professor of health services and policy research2,
  3. Richard Byng, professor in primary care research1,
  4. Nicky Britten, professor in applied healthcare research3,
  5. Helen Lloyd, senior research fellow1
  1. 1Community and Primary Care Research Group, Plymouth University Peninsula Schools of Medicine and Dentistry, Plymouth Science Park, Derriford, Plymouth PL6 8BX, UK
  2. 2University of Exeter Medical School, RSJ02, Smeall Building, St Luke’s Campus, Exeter EX1 2LU, UK
  3. 3Institute of Health Services Research, University of Exeter Medical School, St Luke’s Campus, Exeter EX1 2LU, UK
  1. james.close{at}

We welcome Marshall and Roland’s editorial on the Quality and Outcomes Framework (QOF) and propose some future directions.1

QOF (or its replacement) needs an expanded notion of quality of care that accounts for fundamental features of general practice that are not currently captured. This would focus on wellbeing and …

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