Intended for healthcare professionals

Letters Quality and Outcomes Framework

End the cycle of ignorance—a moral imperative to evaluate the effects of QOF

BMJ 2018; 361 doi: (Published 11 June 2018) Cite this as: BMJ 2018;361:k2544
  1. Tom Marshall, professor of public health and primary care
  1. University of Birmingham, Birmingham B15 2TT, UK
  1. t.p.marshall{at}

The Quality and Outcomes Framework (QOF) was introduced without proper evaluation of its effects. It has been abolished in Scotland and may be slimmed down in England without proper evaluation of its effects.1 This cycle of …

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