# 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.

- Published: 13 Jul 2026
- Type: News
- Topic: QOF/IIF
- For: Practice managers, PCN leads
- Applies to: England
- Deadline: 31 Mar 2027
- Review: Reviewed by the Abtrace team
- Web page: https://ontherecord.abtrace.com/posts/qof-2026-27-where-things-stand/

## 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.

## Who it affects

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

## What to do

- 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.

## Deadline

QOF achievement is measured on 31 March 2027.

## Sources

- [NHS England: Quality and Outcomes Framework guidance for 2026/27](https://www.england.nhs.uk/publication/quality-and-outcomes-framework-guidance-for-2026-27/)
- [NHS England: Quality and Outcomes Framework guidance for 2026/27 (PDF, July update)](https://www.england.nhs.uk/wp-content/uploads/2026/03/prn02356-quality-outcomes-framework-guidance-2026-27-july-update.pdf)

Published by Abtrace on On the Record (https://ontherecord.abtrace.com/). Summaries only; always check the linked source.