004B Routine QOF work | f High risk

004B Routine QOF work | f High risk

This folder highlights patients at increased cardiovascular risk who may be overlooked due to missing current-year data. All patients included have previously recorded elevated values, suggesting ongoing risk, but lack QOF-relevant results this year.

These patients should be prioritised for follow-up to improve clinical outcomes and ensure QOF targets are met.


๐Ÿงพ  HIGH RISK | Asthmatics who didn't have a review last year who are high risk

Supports AST007
Asthma patients who didn't have a review last year and are high risk due to exacerbations, steroid use, or high SABA use.

  1. Useful for prioritising reviews in less well controlled patients

๐Ÿงพ HIGH RISK | CHD no BP reading this QOF year but latest was raised

Supports CHD015, CHD016
Catch-all list for CHD patients with no BP this year and a previously raised reading.

  1. Useful for prioritising reviews across both CHD015 and CHD016 cohorts.

๐Ÿ“‹ HIGH RISK | CHOL004 not on therapy, no result this year but previously raised

Supports CHOL004
Patients not currently on statin therapy, who have no cholesterol result recorded this QOF year, but had a previously raised result.

  • High-priority group for either re-testing or statin initiation.

๐Ÿ“‹ HIGH RISK | CHOL004 on therapy, no result this QOF year but previously raised

Supports CHOL004
Patients on lipid-lowering therapy (e.g. statins) who have not had a cholesterol result recorded this QOF year, despite a previously raised level.

  • Important to re-check to assess treatment effectiveness and maintain QOF compliance.

๐Ÿงพ HIGH RISK | COPD010 no review last year and high risk

Supports COPD010
COPD patients who missed their review last year and are also marked as high risk (e.g. due to frequent exacerbations or poor control). Prioritise for proactive recall.

๐Ÿงพ HIGH RISK | DM012 diabetic foot check previously higher risk

Supports DM012
Previously recorded moderate or high foot risk and no check this year. Prioritise to secure DM012 and ensure safe management.

๐Ÿงพ HIGH RISK | DM036 no BP reading this QOF year but latest was raised

Supports DM036
Patients eligible for DM036, no BP this year, and previously raised BP. Act now to avoid indicator failure.

  1. Useful for prioritising reviews

๐Ÿงพ HIGH RISK | HYP no BP reading this QOF year but latest was raised

Supports HYP008, HYP009
Catch-all list for hypertensive patients of any age with no BP this year and raised BP previously. 

  1. Useful for prioritising reviews across both HYP008 and HYP009 cohorts.

๐Ÿ“‹ HIGH RISK | Needs BP (CHD, DM, HYP, STIA) no reading this year but last year was raised

Supports CHD015/016, DM036, HYP008/009, STIA014/015
Combines four other reports for long term conditions found in this folder identifying no BP this year. 

These patients are at ongoing risk of poor BP control and should be followed up for re-checks or treatment escalation.

  1. Useful to minimise duplication of invitations where a patient has more than one qualifying long term condition.

๐Ÿงพ HIGH RISK | STIA no BP reading this QOF year but latest was raised

Supports STIA014, STIA015
Catch-all list of stroke/TIA patients with no BP this year and previous high readings. Review to prevent indicator failure.

  1. Useful for prioritising reviews across both STIA014 and STIA015 cohorts.

    • Related Articles

    • 004B Routine QOF work

      The 004B Routine QOF work search are located within Primary Care IT - Reporting Group organisation under 004 GP Contract Pro folder. The 004 Routine QOF work searches are divided into 10 main folders (see below). The searches have been built to look ...

    • 004B Routine QOF work | b Weekly activities

      This folder includes a set of searches that should be reviewed weekly to stay on top of QOF targets. Each search identifies patients with incomplete QOF reviews. ? DQ | Asthma with incomplete review This report lists patients with incomplete asthma ...

    • 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 โ€” making ...

    • 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. ? ADMIN | AF needs CHA2DS2-VASc Supports AF006 This report lists patients with atrial fibrillation who ...

    • 004B Routine QOF work | * Indicator Navigator | COPD

      COPD These searches help practices in completing QOF work for COPD010, which focuses on the annual review of patients with Chronic Obstructive Pulmonary Disease. The searches help identify patients who still need a review, may be eligible for ...