004B Routine QOF work | c Monthly activities

004B Routine QOF work | c Monthly activities

The reports in this folder are designed to be run and reviewed on a monthly basis to help practices stay on top of time-sensitive QOF indicators.

Warning
The searches have been built to look at the contract year (1st April to 31st March), so it is recommended to run the search WITHOUT a relative run date.

πŸ“‹ ADMIN | AF needs CHA2DS2-VASc

Supports AF006
This report lists patients with atrial fibrillation who do not yet have a CHA2DS2-VASc score coded.

  • It displays the AF diagnosis date and any previously coded scores.

  • You can use the HP212 protocol (included in your subscription) to bulk-add CHA2DS2-VASc scores for these patients.

πŸ“… Tip: Run this monthly, as newly diagnosed AF patients will continue to appear.

✨ View the HP212 protocol support article


πŸ“‹ ADMIN | Recent diabetes but not referred to structured education

Supports DM014
Patients with a recent diabetes diagnosis but no code for referral to structured education.

  • The referral must be coded within 9 months of diagnosis.

  • The report shows the diagnosis date for easy review and timely coding.


πŸ“‹ CLINICIAN | AST012 New diagnosis without objective tests

Supports AST012
This report highlights patients with a new asthma diagnosis who have no objective tests coded.

  • Use this report to catch patients within the indicator timeframe.

✨ View our full support article on AST012


πŸ“‹ CLINICIAN | Cholesterol on alternative lipid-lowering therapy without statin PCA

Supports CHOL003/004
Patients on alternative lipid-lowering therapy without a statin PCA code.

  • If a statin is not indicated, declined, contraindicated, or not tolerated, apply the appropriate PCA.


πŸ“‹ CLINICIAN | Diabetes on alternative lipid-lowering therapy without statin PCA

Supports DM034/035
Patients on alternative lipid-lowering therapy without a statin PCA code.

  • If a statin is not indicated, declined, contraindicated, or not tolerated, apply the appropriate PCA.


🧾 CLINICIAN | DM020 HbA1c last month was >58 mmol/mol

Supports DM020
Latest HbA1c recorded within the last month was above 58.

  1. Review result to review whether medication can be titrated.
  2. Consider applying Maximal tolerated diabetic therapy PCA

🧾 CLINICIAN | DM021 HbA1c last month was >75 mmol/mol

Supports DM021
Latest HbA1c recorded within the last month was above 75.

  1. Review result to review whether medication can be titrated.
  2. Consider applying Maximal tolerated diabetic therapy PCA

πŸ“‹ CLINICIAN | Recent heart failure diagnosis but not yet referred for echo

Supports HF008
Identifies patients with a recent heart failure diagnosis who have not had an echocardiogram or specialist assessment coded.

  • Referral/assessment must be coded within 3 months before or 3 months after diagnosis.

  • New patients are not treated differently.

  • PCA codes (e.g. declined) can be used if appropriate to remove patients from the indicator.


πŸ” CV | BP last month not to target NO previous PCAs no new antihypertensives

Patients with raised BP readings in the last month who:

  • Have no new antihypertensive medication started

  • Have no PCA code recorded within the last 3 years

Use this search to prioritise patients for treatment review or PCA coding.


πŸ” CV | BP last month not to target NO previous PCAs BP 160/100 to 180/110

Subset of patients from the above search with BP readings between 160/100 and 180/110.

  • Consider escalation of treatment or PCA application.


πŸ” CV | BP last month not to target NO previous PCAs BP >180/110

Identifies patients with very high BP in the past month and no treatment change or PCA recorded.

  • Ideal for urgent review.


πŸ” CV | BP last month not to target NO previous PCAs BP <160/100 no change

Highlights patients with moderately raised BP, no PCA, and no change in management.

  • These may have been overlooked.


πŸ“‹ CV | Cholesterol LDL last month >2.0

Supports CHOL004

Patients with LDL >2.0 mmol/L recorded in the last month.
  • Review statin prescribing or PCA suitability.


πŸ“‹ CV | Cholesterol LDL last month borderline

Supports CHOL004

Patients with LDL close to threshold in the last month.
  • May be suitable for statin optimisation or PCA application.


πŸ“‹ HCA | Cholesterol no HbA1c this year

Supports CHOL004
Diabetic patients with no LDL or nHDL cholesterol recorded in the current QOF year.

  • A simple blood test can secure QOF compliance.


πŸ“‹ HCA | Diabetes no HbA1c this year

Supports DM020DM021
Diabetic patients with no HbA1c recorded in the current QOF year.

  • A simple blood test can secure QOF compliance.


πŸ“‹ HCA | NDH no HbA1c this year

Supports NDH002
Patients with non-diabetic hyperglycaemia who have not had an HbA1c or fasting glucose recorded this year.

  • Prioritise these patients for annual blood test recall.


If you suspect that a clinical action was completed but not coded, use EMIS’s Text Search feature:

  • Open the consultation page

  • Click the β€˜Text search’ icon in the EMIS ribbon

  • Search for relevant terms (e.g. "declined", "referred", "reviewed")

This can help uncover missed coding opportunities and support accurate QOF reporting.

    • Related Articles

    • 004B Routine QOF work | b Weekly activities

      This folder includes a set of reports that should be reviewed weekly to stay on top of QOF targets. Each report identifies patients with incomplete QOF reviews and highlights which elements are missing, allowing practices to complete reviews promptly ...
    • 004B Routine QOF work

      The 004B Routine QOF work search folder is located within population reporting under the 004 GP Contracts Pro folder. The 004 Routine QOF work folder is divided into 11 main folders (see below), as well as a denominator folder (z Denominators) where ...
    • 004B Routine QOF work | h Previous PCA

      This folder focuses on patients who have not yet achieved an indicator, but have had a relevant PCA recorded within the last 3 years. In this context, PCAs are any indicator specific adjustments (e.g. Maximal tolerated antihypertensive therapy, or ...
    • 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 ...
    • 004B Routine QOF work | * Indicator Navigator | Heart Failure

      Heart Failure This folder supports practices in achieving QOF indicators for heart failure, including medication use (ACEi/ARB, beta-blockers) and annual review. It also supports exception coding when treatment is declined or not clinically ...