Guidance

QOF Point Value and Prevalence

We often get asked how disease register prevalence and list size affects the value of QOF.

This article explains how QOF is calculated using your practice prevalence data from NHS Digital's online database or www.gpcontract.co.uk.

Note: no one has access to the current financial year prevalence data as it is not extracted until 31st March each year, therefore the calculation examples below will only be an approximate based on the previous financial year’s national prevalence data.

QOF income in any financial year is calculated using 3 variables:

  • QOF points achieved - The value of a QOF point for 2022/23 is £220.62
  • Contractor Population Index (CPI) - this is your practice list size divided by the "national average list-size", which changes annually (for 2024/25 it is 9964 patients).  For example if your list size is 16,000 patients then your CPI is 16,000 / 9964 = 1.61.
  • Adjusted Practice Disease Factor (APDF) - this is your practice disease prevalence for a particular chronic disease divided by the national average disease prevalence.  For example the national average prevalence of AF is 2.1%.   If your practice prevalence is 3.05% then your APDF for AF will be 3.05/2.1 = 1.45.

All 3 of the above variables influence what payment is made for each QOF domain:

QOF payment = Points Achieved x £220.62 x CPI x APDF

So, using the above AF example in a 16,000 patient practice with all 29 points achieved:

QOF payment for AF = 29 x £220.62 x 1.60 x 1.45 = £14,843.31

The full article is available on the Arden’s website and contains additional information and the location of 'case finder' searches that can help increase the Practice's prevalence.

First Published
26 July 2022
Updated On
7 May 2024
Due to be Reviewed
30 April 2025
Not signed in.

Please Login or Register an account to access the ability to favourite this.
Share this article

You might also find this useful...

GP Patient Survey – 2024
GP Patient Survey – 2024
15 July 2024
The GP Patient Survey covers GP practice services and asks about patients’ last contact, last appointment and overall experience. The survey questionnaire also includes questions about when the GP practice…
Cont. Reading