004B Routine QOF work | h Previous PCA
🧾 PCA CHECK | CHD005 reason for antiplatelet or information/OTC last year
Patients who had a PCA code for not taking antiplatelet therapy last year — such as OTC use, side effects, or informed dissent. Review to determine whether a similar code or treatment applies this year.
🧾 PCA CHECK | CHD015 BP this year not to target previous PCA
Patients under 80 who had a PCA recorded within the last 3 years, and are still not to target this year. Review whether the PCA should be re-applied or if clinical changes are needed.
🧾 PCA CHECK | CHD016 BP this year not to target previous PCAs
Patients aged 80+ not to BP target with a previous PCA recorded within the last 3 years. Useful for reviewing reapplication of PCA if clinical circumstances haven’t changed.
🧾 PCA CHECK | CHOL003 Not on a statin previous PCA
Patients not on statins or alternative lipid lowering therapy, who have had a PCA previously. Review to confirm whether the exception still applies, or if statin therapy should now be considered.
🧾 PCA CHECK | CHOL004 high lipid result and previous PCA
Patients where the most recent LDL (or nHDL) result was raised, and who have had a PCA recorded in the last 3 years. Review to confirm whether the exception still applies, or if statin therapy should now be considered.
🧾 PCA CHECK | COPD010 no review previous PCA
Patients who had a PCA code applied for COPD010 in a previous year (e.g. patient unsuitable or informed dissent). These should be reviewed to determine if a PCA is still appropriate this year, or if a review can now be completed.
🧾 PCA CHECK | DEM004 review not done and PCA last year
Patients who had a PCA recorded last year (e.g. informed dissent or patient unsuitable) and no review this year. Review these cases to decide if a PCA should be re-applied or if a review can now be completed.
🧾 PCA CHECK | DM006 proteinuria or microalbuminuria previously declined
Patients who previously declined proteinuria screening or treatment. Reconsider exception or offer again if clinically appropriate.
🧾 PCA CHECK | DM012 diabetic foot check previous PCA
Patients who had a PCA exception for DM012 and no review this year. Reassess for reapplication or engagement.
🧾 PCA CHECK | DM020 HbA1c this year >58 previous PCA
🧾 PCA CHECK | DM021 HbA1c this year >75 previous PCAs
Similar cohort, but with prior PCA recorded within last 3 years. Consider reapplying exception.
🧾 PCA CHECK | DM034 Diabetes not on statin previous PCA
Patients eligible for DM034, not on statin, and PCA recorded previously. Reassess if statin is now suitable or exception still applies.
🧾 PCA CHECK | DM035 Diabetes not on statin previous PCA
Same as above but for DM035 (patients with CVD). Reassess suitability or reapply PCA.
🧾 PCA CHECK | DM036 BP this year not to target on 3+ antihypertensives
Patients with BP above target despite three or more antihypertensives. Appropriate for maximal tolerated therapy PCA under DM036.
🧾 PCA CHECK | DM036 BP this year not to target previous PCA
Patients aged ≤79, BP not to target, and PCA recorded with the last 3 years. Check if exception is still valid for DM036.
🧾 PCA CHECK | HF003 not on ACEI/ARB and previously declined
Patients not on ACEi or ARB, with a previous decline or PCA. Check whether an exception should be reapplied under HF006 or if initiation is now possible.
🧾 PCA CHECK | HF006 not on a B-blocker previous PCA
Patients not on a beta-blocker and have had a PCA exception in a previous year. Review to determine whether a new PCA should be applied for HF007 or if treatment is now appropriate.
🧾 PCA CHECK | HF007 No review previous PCA
Patients who did not have a coded HF review and had a previous PCA applied for HF007. Consider reapplying PCA if the patient remains unsuitable or unengaged.
🧾 PCA CHECK | HYP008 BP this year not to target previous PCA
Patients aged ≤79 who have not met BP target and had a previous PCA within the last 3 years. Review whether the exception remains appropriate.
🧾 PCA CHECK | HYP009 BP this year not to target previous PCA
Patients aged ≥80 who have not met BP target this year and had a previous PCA within the last 3 years. May need reapplying if clinical picture is unchanged.
🧾 PCA CHECK | MH002 care plan not done previous PCA
Patients with no care plan coded this year and a past PCA recorded.
Action: Review whether the same reasoning still applies.
🧾 PCA CHECK | NDH002 HbA1c previous PCA
Patients who had a PCA applied in a previous year due to inability or refusal to complete an HbA1c test.
Action: Reassess whether the PCA should be re-applied or whether the patient is now able to complete testing.
🧾 PCA CHECK | Reason for no asthma check last year
Patients who did not have an asthma review last QOF year, and may have had a Personalised Care Adjustment (PCA) applied (e.g. informed dissent, patient unsuitable). Useful to check if the same adjustment applies this year or if a review can now be completed.
🧾 PCA CHECK | SMOK002 Chronic disease and previous smoking status PCA
Patients with chronic disease who have not had a smoking status recorded, but they have had a PCA recorded within the last 3 years. Review the PCAs to determine if they could be reapplied.
🧾 PCA CHECK | SMOK004 Current smoker with previous PCA
Current smokers who have had a smoking PCA recorded within the last 3 years. Review the PCAs to determine if they could be reapplied.
🧾 PCA CHECK | STIA014 BP this year not to target previous PCA
Patients under 80 not to target this year and had a PCA previously recorded. Review for reapplication under STIA014.
🧾 PCA CHECK | STIA015 BP this year not to target previous PCA
Patients aged 80+ not to BP target, with previous PCA applied. Reassess under STIA015.
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 | * Indicator Navigator | Smoking
Smoking This folder supports achievement of the following smoking QOF indicators: SMOK002 – patients with a long term condition (CHD, PAD, stroke/TIA, hypertension, diabetes, COPD, CKD, asthma, SMI) with smoking status recorded SMOK004 – current ...004B Routine QOF work | * Indicator Navigator | COPD
COPD This folder supports 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 ...004B Routine QOF work | * Indicator Navigator | Diabetes
Diabetes This folder supports opportunistic and end-of-year QOF work across all diabetes indicators, including blood pressure (DM036), HbA1c control (DM020/DM021), statin use (DM034/DM035), nephropathy management (DM006), foot checks (DM012), ...