Quality and Outcome Framework (QOF) is kept under ongoing review and discussions between the General Practitioner Committee (GPC) and NHS Employers (NHSE) over contractual matters, including QOF continue to take place. Arrangements for improving the health of patients and delivering heath services for key components of the general practitioner contract, are covered by essential, additional and enhanced services as well as the QOF. Decisions on the most appropriate interventions detailed by general practice form part of the on going negotiations between GPC and NHSE. It would be inappropriate for the Department to pre-empt the outcome of those confidential contract discussions.