Practices will be hit by a 15% fall in QOF income next year as the government's overhaul of the framework and workload pressures bite, experts have warned.
Accountants say practices stand to lose £20,000 of QOF income as targets become harder to achieve in 2013/14.
GP leaders also anticipate a slump in QOF pay and blamed the government’s contract imposition for making matters ‘considerably worse’ for practices.
Figures released earlier this month by the NHS Health and Social Care Information Centre show average QOF achievement fell 0.8 percentage points to 96.1% in 2012/13.
The figure equates to a drop of about £8.8m across England, worth £1,100 to the average practice.
Compared with the previous year, more practices failed to achieve 90% or more of their points. In 2011/12, just 6.3% fell below this threshold, compared with 9% in 2012/13.