004B Routine QOF work | a Early contract actions

004B Routine QOF work | a Early contract actions


This folder contains a set of searches and reports to help you capture quick QOF wins early in the financial year. Several of these reports surface patients who previously declined treatment, were contraindicated, or were exception coded — making them ideal for early review and either reapplying the correct PCA or completing care delivery.



🔍 AF with no CHA2DS2-VASc

This search includes patients with AF who do not have a valid code for CHA2DS2-VACs score.

After running the search, you can work through the patients included to check whether the appropriate code can be added to exception report them again for this QOF year, making it easier to meet the QOF targets stated below.

🧾 CLINICIAN | Cholesterol on alternative lipid-lowering therapy without statin PCA

  • Supports CHOL003
    Patients are on a non-statin lipid-lowering drug (e.g. ezetimibe), but have no PCA code recorded to explain why a statin isn’t being prescribed.

    • If a statin is declined, contraindicated, or not tolerated, add the appropriate PCA code to ensure QOF compliance.

🧾 CLINICIAN | Diabetes on alternative lipid-lowering therapy without statin PCA

Supports DM034, DM035
Patients are on a non-statin lipid-lowering drug (e.g. ezetimibe), but have no PCA code recorded to explain why a statin isn’t being prescribed.

  • If a statin is declined, contraindicated, or not tolerated, add the appropriate PCA code to ensure QOF compliance.

🧾 CLINICIAN | DM006 proteinuria or microalbuminuria previously declined ACEI/ARB

Supports DM006.
Patients with diabetes and evidence of proteinuria or microalbuminuria who previously declined or were contraindicated for ACE inhibitors or ARBs within the last 3 years.

  • Review to see if a PCA can be reapplied this year, or if therapy should be reconsidered.

🧾 CLINICIAN | HF006 not on a B-blocker previous PCAs

Supports HF006.
Patients with heart failure and LVSD who are not prescribed a beta-blocker, but had a PCA applied previously.

  • Reassess the patient’s current eligibility. If they remain unsuitable, reapply the PCA.

🧾 CLINICIAN | HF006 not on ACEI/ARB and previously declined

Supports HF006.
Heart failure patients with LVSD not on ACE inhibitors or ARBs due to previous decline, contraindication, or non-tolerance.

  • Review patient status. If still unsuitable, the PCA can be reapplied.

🧾 CLINICIAN | Needs BP (CHD, DM, HYP, STIA) and would have hit surgery target

Supports CHD015/016, DM036, HYP008/009, and STIA014/015.
Patients have had a home or ambulatory BP recorded that would meet the QOF target if it had been taken in surgery.

  • Invite for an in-practice BP check to secure QOF compliance for multiple indicators.

🧾 HCA | Needs BP (CHD, DM, HYP, STIA) no BP reading and last year’s normal

Also supports CHD, DM, Hypertension, and Stroke/TIA BP indicators.
Patients have no BP reading this year, but last year’s reading was within range.

  • These are ideal for opportunistic BP checks — one quick reading could achieve multiple QOF indicators.

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