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<p>Commissioners are required under the General Medical Services Statement of Financial
Entitlements Directions 2013 to ensure that all Quality and Outcome Framework (QOF)
payments claimed and made are based on accurate and reliable information. In the event
this is untrue, then the Commissioner may withhold payment of all or part of an Achievement
Payment that is otherwise payable.</p><p> </p><p>QOF guidance also sets out the verification
process in relation to QOF payments, including any requirements in relation to post
payment verification. In relation to an unfavourable Care Quality Commission (CQC)
inspection, Commissioners would be expected to follow the processes set out in NHS
England’s published Framework for responding to CQC inspections of general practitioner
practices.</p><p> </p><p>The Commissioner may recover the money paid by deducting
an equivalent amount from any payment payable, and where no such deduction can be
made; the contractor must pay that equivalent amount.</p>
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