This folder helps practices identify patients with Coronary Heart Disease where QOF-related work may still be needed to achieve or exception-report the following indicators:

• CHD005 – Antiplatelet or anticoagulant therapy

• CHD015 – BP ≤140/90 mmHg in patients aged under 80

• CHD016 – BP ≤150/90 mmHg in patients aged 80 and over

The searches are useful throughout the year, especially in the final months before 31 March to support QOF clean-up.

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.

🔍 [CHD015] One invitation sent

Patients aged under 80 eligible for CHD015 who have had one invitation. Sending a second invite will allow them to be exception-coded if they do not attend. If the patient has had a raised blood pressure recorded this year, there must be at least two invitations after the most recent BP result.

🔍 [CHD015] Two invitations sent

Patients aged under 80 who have had two invitations but are not to BP target. These patients can now be exception-reported under CHD015.

🔍 [CHD016] One invitation sent

Patients aged 80+ eligible for CHD016 who have had one invitation. Sending a second invite enables exception coding if they do not attend. If the patient has had a raised blood pressure recorded this year, there must be at least two invitations after the most recent BP result.

🔍 [CHD016] Two invitations sent

Patients aged 80+ who have received two invitations but are not to BP target. Now eligible for exception reporting under CHD016.

🧾 BORDERLINE | CHD015 would have achieved surgery BP target

Patients aged under 80 whose latest BP reading was home or ambulatory that would have been within target if taken in surgery. Home/ambulatory thresholds are lower than surgery thresholds, so these patients may achieve CHD015 if a surgery reading is taken.

🧾 BORDERLINE | CHD016 would have achieved surgery BP target

Patients aged 80+ whose latest BP reading was home or ambulatory that would have been within target if taken in surgery. These patients might meet CHD016 if they are invited in for a surgery-based reading.

🔍 CHD005 Antiplatelet questionnaire to send out by letter

Patients with CHD who may not have clear coding for antiplatelet therapy. This list supports postal questionnaires to confirm current use or capture reasons for not taking.

🔍 CHD005 Antiplatelet questionnaire to send out by SMS

Same as above, but optimised for SMS delivery to engage patients quickly and collect information on antiplatelet use or declines.

🧾 CHECK BORDERLINE | CHD015 BP this year not to target NO previous PCA

Patients aged under 80 with BP not to target this year, but no history of PCAs recorded in the last 3 years. These cases may be borderline or newly raised — worth reviewing or repeating.

🧾 CHECK BORDERLINE | CHD016 BP this year not to target NO previous PCA

Patients aged 80+ with raised BP this year, but no history of PCAs recorded in the last 3 years. These may reflect isolated events or measurement variation — worth rechecking.

🧾 HIGH RISK | CHD015 no BP reading this QOF year but latest was raised

Patients aged under 80 with no BP recorded this QOF year, and their last recorded reading was above target. Likely to fail CHD015 if not reviewed before year-end.

🧾 HIGH RISK | CHD016 no BP reading this QOF year but latest was raised

Patients aged 80+ with no current-year BP reading, and their most recent reading was above target. Likely to fail CHD016 unless followed up.

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

Catch-all list for CHD patients with no BP this year and a previously raised reading. Useful for prioritising reviews across both CHD015 and CHD016 cohorts.

🧾 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 on 3+ antihypertensives

Patients under 80 not to BP target and already on 3 or more antihypertensive medications. May be eligible for a “maximal tolerated treatment” PCA under CHD015.

🧾 PCA CHECK | CHD016 BP this year not to target on 3+ antihypertensives

Same as above, but for patients aged 80+ under CHD016. Consider PCA coding if further BP control isn’t clinically appropriate.

🧾 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.

🧾 QUICK WIN VALUE | CHD no BP reading this QOF year and latest was normal

Patients with no BP recorded this QOF year, but their most recent reading was in target. Ideal group for opportunistic BP checks — a likely QOF achievement if repeated.