QOF/IIF · 13 Jul 2026 · 2 min read

QOF 2026/27: where things stand after the July guidance update

A recap of the 2026/27 QOF changes in England: new indicators, retired IDs, threshold moves and a new improvement route for childhood immunisations.

Deadline 31 Mar 2027

01 / What's changed

NHS England updated its 2026/27 QOF guidance on 13 July 2026. The clinical domain carries 437 points and the public health domain 145.
New indicators include CD001 and CD002 (blood pressure control in CHD, stroke or TIA, replacing separate CHD and STIA indicators), DM037 (all eight diabetes care processes), HF009 (four-pillar therapy in reduced ejection fraction heart failure) and obesity indicators OB004 and OB005. The Weight Management Enhanced Service ended on 31 March 2026.
AF006's upper threshold rises to 95%. HYP010 and HYP011 now exclude moderately or severely frail patients. The asthma register starts at age 5.
VI001 to VI003 gain an improvement route: practices can earn points for raising uptake at least 5 percentage points above their own baseline, whichever calculation pays more. MMRV now counts alongside MMR.

All practices in England taking part in QOF, and PCNs supporting recall work.

Update your searches and recall templates for the retired IDs: CHD015, CHD016, DM012, HF003, HF006, HYP008, HYP009, NDH002, STIA014 and STIA015.
Review your heart failure register to find patients with reduced ejection fraction not on all four drug classes.
Once it appears in CQRS, check your childhood immunisation baseline so you know what a 5 point improvement means for you.
Use only SNOMED codes. Local or practice-specific codes are not picked up by QOF reporting.

QOF achievement is measured on 31 March 2027.