QOF Income Reference 2026/27

2026/27
QOF data is sourced from NHS England via PracticeConnect. National £/point rate: £227.95 — Average list size: 10349.00. Figures are illustrative maximum income estimates only.

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Search by practice name or ODS code to see CPI-adjusted income estimates for your practice. Leave blank to view national reference data only.

Disclaimer: These figures are illustrative maximum income estimates only and assume 100% achievement across all indicators. Actual QOF income will vary based on your practice's achievement, exceptions reporting, and any in-year contract changes. ADF figures use NHS England prevalence data and may not exactly match CQRS calculations. Always refer to your contract and NHS England guidance for definitive figures. Data is sourced from PracticeConnect and is updated periodically.

Search for a practice above to see CPI-adjusted income estimates, domain breakdowns, and per-indicator figures.

What's Changed in 2026/27

Total QOF points rise to 582: clinical domain 437 pts, public health 145 pts

Maximum income ceiling updated across all indicators

CHD and STIA blood pressure indicators retired; replaced by CD001 and CD002

Secondary-prevention BP income now modelled under the cardiovascular disease domain

Four new indicators introduced: HF009, DM037, OB004 and OB005

All four appear in the indicator table with full income and threshold modelling

DM034 and DM035 carry increased point values; CHOL003 reduced to 20 points

Point totals and maximum income figures updated to reflect revised weightings

VI001–VI003 now offer an improvement-payment route alongside the standard threshold

Threshold column shows both payment routes; income is modelled on the standard route

NDH003 replaces NDH002, expanding the register to include previous gestational diabetes patients

Indicator code and description updated; income modelled under the revised register definition

How QOF Income is Calculated

QOF income for each indicator is calculated using three inputs: the national £/point value set by NHS England, your practice's registered list size relative to the national average (the CPI), and — where prevalence data is available — an Adjusted Disease Factor (ADF) that accounts for the local disease burden.

Max Income = Points × £/point × CPI [ × ADF ]

£/Point (National Rate)

The national unit value per QOF point, set annually by NHS England. For 2026/27 this is £227.95. It is based on a notional average practice with 10349.00 patients.

CPI (Contractor Population Index)

A size-adjustment factor: your practice list size divided by the national average (10349.00). A CPI above 1.0 means your practice is larger than average and receives proportionally more; below 1.0 means smaller.

ADF (Adjusted Disease Factor)

An optional prevalence adjustment. Where local disease prevalence is higher than the national average, the ADF exceeds 1.0, increasing the effective income. Not all indicators have ADF data — those without fall back to the CPI-only figure.

Thresholds and achievement rates are not modelled here — these figures represent the theoretical maximum assuming full achievement of every indicator.

See the Full Picture on PracticeConnect

PracticeConnect gives you a live QOF dashboard with actual achievement tracking, exception rates, and detailed indicator drill-downs — updated directly from CQRS data.

Dashboard Overview

Indicator Detail

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