Skip to main page content
U.S. flag

An official website of the United States government

Dot gov

The .gov means it’s official.
Federal government websites often end in .gov or .mil. Before sharing sensitive information, make sure you’re on a federal government site.

Https

The site is secure.
The https:// ensures that you are connecting to the official website and that any information you provide is encrypted and transmitted securely.

Access keys NCBI Homepage MyNCBI Homepage Main Content Main Navigation
. 2016 Aug 4:354:i4060.
doi: 10.1136/bmj.i4060.

Quality and Outcomes Framework: what have we learnt?

Martin Roland  1 , Bruce Guthrie  2
Affiliations

Quality and Outcomes Framework: what have we learnt?

Martin Roland et al. BMJ. .

Abstract

Martin Roland and Bruce Guthrie assess the successes and failures of the pay-for-performance scheme and what its future should be

PubMed Disclaimer

Conflict of interest statement

We have read and understood BMJ policy on declaration of interests and declare the following interests: MR advised the BMA and NHS Employers on the development of the Quality and Outcomes Framework from 2001 to 2003. BG was a member of the NICE Quality and Outcomes Framework indicators advisory committee and chaired the methods, retirement thresholds, and review subcommittee from 2009 to 2014.

Provenance and peer review: Not commissioned; externally peer reviewed.

References

    1. Roland M. Linking physicians’ pay to the quality of care—a major experiment in the United kingdom. N Engl J Med 2004;351:1448-54. 10.1056/NEJMhpr041294 pmid:15459308. - DOI - PubMed
    1. McDonald R, Harrison S, Checkland K, Campbell SM, Roland M. Impact of financial incentives on clinical autonomy and internal motivation in primary care: ethnographic study. BMJ 2007;334:1357-9. 10.1136/bmj.39238.890810.BE pmid:17580318. - DOI - PMC - PubMed
    1. Health and Social Care Information Centre. GP earnings and expenses time series 2002-2014. 2015. http://www.hscic.gov.uk/searchcatalogue?productid=13317&q=title%3a%22GP+...
    1. Campbell SM, Reeves D, Kontopantelis E, Sibbald B, Roland M. Effects of pay for performance on the quality of primary care in England. N Engl J Med 2009;361:368-78. 10.1056/NEJMsa0807651 pmid:19625717. - DOI - PubMed
    1. Doran T, Fullwood C, Kontopantelis E, Reeves D. Effect of financial incentives on inequalities in the delivery of primary clinical care in England: analysis of clinical activity indicators for the quality and outcomes framework. Lancet 2008;372:728-36. 10.1016/S0140-6736(08)61123-X pmid:18701159. - DOI - PubMed