📋 NOT ACHIEVED | AST012 Time Expired diagnosis without objective tests

Supports AST012
Identifies patients with a recent asthma diagnosis who did not have objective testing completed within 3 months of diagnosis.

• Eligibility is only based on diagnosis date - unlike AST011, the clock does not reset for newly registered patients.

• If appropriate tests were completed but not coded, backdate the code.

• If tests were not performed, consider applying a declined or not indicated PCA.

📋 NOT ACHIEVED | DM014 Time Expired diagnosis but not referred to struct. educatn

Supports DM014
Patients diagnosed with diabetes who were not referred to structured education within 9 months.

• The report includes the diagnosis date to confirm timeline.

• If the referral was missed or unrecorded, and the window has now passed, consider whether a declined or not indicated PCA applies.

• Where appropriate, backdate the code.

📋 NOT ACHIEVED | HF008 Time Expired diagnosis but no echo

Supports HF008
Patients diagnosed with heart failure without an echocardiogram or specialist assessment during 6 months prior to diagnosis.

• Use the diagnosis date to review whether the assessment occurred but was uncoded.

• If no action was taken, apply a PCA where appropriate and backdate if needed.

ℹ️ Note:

• For diabetes, and heart failure, the indicator logic applies based on the first ever diagnosis code.
  

• For asthma, the indicator logic picks up a new diagnosis code since 1st April 2025, meaning a patient who had childhood asthma resolved may be counted as an adult. 

This distinction is important when validating inclusion logic or checking whether indicators should apply.

By reviewing these reports regularly, you can:

• Ensure any completed actions are coded and backdated

• Identify missed opportunities and apply PCA codes where appropriate

• Maintain accurate QOF achievement