Does QOF match NHSQOF targets for cardiovascular diseases, including BP/hypertension, CHD and peripheral artery disease, make up almost 20% of QOF funding, but only 10% of the total NHS budget, according to gponline.com.

Greater QOF funding for certain disease areas may be warranted in some cases, particularly if they encourage preventive treatment and cut downstream costs.

But other areas are seemingly under-resourced. Obesity consumes £5bn in direct NHS costs (4.6% of the NHS budget), yet has been allocated just £9m (0.9%) of QOF funding.

This mismatch lends support to calls from public health expert Sir Michael Marmot for a greater number of public health-orientated indicators in QOF.