Knowledge Hub

NHS technical and clinical documentation — decoded. Plain-English breakdowns of frameworks, guidelines, contracts, and calculators so clinicians can understand the rules, not just follow them.

What is this?

NHS primary care runs on a dense layer of technical specifications — QOF business rules, NICE guidelines, contract frameworks, coding standards, risk algorithms. These documents are accurate but rarely written with the clinician in mind.

The Knowledge Hub translates that material into structured, readable references. Each section takes a specific piece of NHS documentation and presents it in a form that is easier to read, navigate, and apply — without stripping out the clinical or contractual detail that matters.

Not a policy source. Content is derived from published NHS specifications and presented for reference and education. Always confirm against the current national documentation for contractual or prescribing decisions.

What's covered

The hub is being built out incrementally. Current and planned content spans three broad areas:

NHS frameworks & contracts

Structured walkthroughs of QOF, PCN DES, enhanced services, and similar contract frameworks — how populations are defined, what triggers achievement, and how the numbers connect.

Clinical guidelines & pathways

Key NICE guidelines and clinical pathways presented as decision logic rather than prose — thresholds, eligibility criteria, treatment steps, and the clinical reasoning behind them.

Clinical calculators & risk tools

Interactive implementations of validated scoring tools used in primary care — QRISK®3, CHA₂DS₂-VASc, and others — alongside plain-English explanations of what each score means and how to act on it.

NHS Quality Framework

Interactive 2026/27

NHS QOF for Primary Care — 2026/27

Navigate the full QOF hierarchy — domains, disease registers, cohorts, indicators, denominators, numerators, and gap logic — with plain-English rule explanations for every node.

19 Clinical domains
43 Indicators mapped
53 Registers & cohorts
Open QOF 2026/27 reference →

Clinical Calculators

Calculator

QRISK®3

10-year cardiovascular disease risk for adults aged 25–84. Aligned with NICE NG238. Includes Townsend deprivation score lookup.

Open QRISK®3 → Calculator

CHA₂DS₂-VASc

Stroke risk scoring for patients with atrial fibrillation. Guides anticoagulation decisions per NICE NG196.

Open CHA₂DS₂-VASc →