Quality Outcome Framework (QOF)

QOF Achievement – This is the value of the achievement provided by CQRS, however this is for the previous financial year as PCSE Online displays this information based on the year it was paid. NHAIS did not hold the year the payment relates to, only the date it was paid.

Total Value Paid – This is the Aspirational payments made plus the Achievement Value for the previous year.

In this example, the QOF Achievement of £16,285.44 for 2018/19 actually relates to the financial year 2017/18.

The information displayed in the Payment Instruction Screen will depend on 2 scenarios.

Scenario 1 – CQRS Achievement figure not received for 2020/21 financial year

QOF Achievement – This is the value of the achievement provided by CQRS, however this is for the previous financial year as PCSE Online displays this information based on the year it was paid. NHAIS did not hold the year the payment relates to, only the date it was paid.

Total Value Paid – this is the Aspirational Value plus the Achievement Value for the previous year.

In this example, the QOF Achievement value of £18,380.57 for 2020/21 actually relates to the financial year 2019/20.

Scenario 2 – CQRS Achievement figure received for 2020/21 financial year

QOF Achievement – the value of the achievement figure provided by CQRS for the 20/21 financial year

Total Value Paid – this is the Aspirational Value, plus the difference in achievement vs aspiration for 20/21 year plus the Achievement Value for 19/20. 

In this example, there is QOF Aspirational figure of £44,931.25, plus the QOF Achievement figure provided by CQRS of £250,000 - note the true CQRS achievement payment for 20/21 is £205,608.75 - plus the achievement value for 19/20 of £18,380.57

Clicking the 2020/21 hyperlink shows you the individual figures.

The information displayed in the Payment Instruction Screen will depend on 2 scenarios.

Scenario 1 – CQRS Achievement figure not received for 21/22 financial year

QOF Achievement – this will be 0, as no value to date has been received

Total Value Paid – this is the value of the Aspirational payments made to date.

In this example, 1 month payment has been processed.

Click to enlarge the image

Scenario 2 – Year complete, CQRS Achievement figure received for 21/22 financial year

QOF Achievement – this will be the actual figure sent by CQRS.

Total Value Paid – this is the value of the Aspirational payments made for the Financial year and the value of the Achievement Adjustment.

In this example, £300,000 was received (but note the achievement payment was £100,000)

£200,000 Aspirational payment + £100,000 Achievement adjustment = £300,000 payment.