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.
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