02/03/2026
March doesn’t create QOF pressure. It reveals it.
When performance feels unstable at year end, it’s rarely about effort.
It’s usually about:
• Medicines work without clear ownership
• Reviews that weren’t structured early
• Monitoring that became reactive
• Workflow that tightened under demand
QOF rarely slips suddenly.
It drifts quietly - then March exposes it.
The most stable practices don’t work harder at year end.
They design clarity into ownership and review cadence from the start.
💬 Where does QOF feel most fragile in your setting right now?