Throughout this article PCA is mentioned, this stands for Personalised Care Adjustment and with regards to QOF, has replaced the term ‘exception reporting’. A PCA is when a patient is not included in a QOF target because they have declined a review/drug or a review/drug is not indicated, etc. By coding a PCA, it will reduce the number of patients eligible for the QOF target (decreasing the denominator), making it easier to meet the QOF target.  For more information about PCAs see our separate support article.