Question to the Department of Health and Social Care:

To ask the Secretary of State for Health and Social Care, how he plans to reward high-performing GP practices.

Practices that participate in the Quality and Outcomes Framework (QOF) are financially rewarded for achieving performance indicators. Indicators and thresholds are designed to be stretching, but attainable.

QOF has been refined for 2026/27 to support more clinically effective patient care and to better align with updated National Institute for Health and Care Excellence guidelines.

As well as traditional achievement thresholds, for 2026/27, practices are further incentivised to perform by having opportunity to earn QOF points through improving against their own baseline achievement for childhood immunisation indicators. This change is intended to recognise and reward practices, particularly those in more deprived areas that may not meet the existing achievement thresholds but demonstrate meaningful and sustained improvement in vaccination uptake.

We are committed to ensuring that all practices receive appropriate support and resources. We are investing an additional £485 million in general practice in 2026/27, bringing the total spend on the GP contract to over £13.8 billion. This builds on last year’s £1.1 billion of investment.