Question to the Department of Health and Social Care:

To ask His Majesty's Government what proportion of GP practices in the top 20 percent of achievement scores in the Quality and Outcomes Framework had an exception reporting rate above the national average in the most recent financial year for which data are available.

Personalised care adjustments (PCAs) replaced exception reporting in 2019. PCAs operate in the same way as exceptions, but PCA specification follows a consistent hierarchy which supports better attribution of the reason for care being personalised.

The national PCA rate in 2023/24 was 8.2%. 1,253 general practices’ Quality and Outcomes Framework (QOF) achievement rates fell in the top 20% of achievement rates, and of these, 418, or 33.6%, had PCA rates greater than 8.2%. This information is taken from the published QOF statistics, and is available in an online only format on the NHS.UK website.