004B Routine QOF work | * Indicator Navigator | Heart Failure

004B Routine QOF work | * Indicator Navigator | Heart Failure

Heart Failure

This folder supports practices in achieving QOF indicators for heart failure, including medication use (ACEi/ARB, beta-blockers) and annual review. It also supports exception coding when treatment is declined or not clinically appropriate.

Warning
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.

๐Ÿ” [HF003] One invitation sent

Patients eligible for HF003 (heart failure review) who have had one invitation. A second invitation is needed to allow for exception coding if they do not attend.

๐Ÿ” [HF003] Two invitations sent

Patients with two invitations sent and no review coded. These are now eligible for exception coding under HF003.

๐Ÿ” [HF006] One invitation sent

Patients eligible for HF006 (ACEi or ARB in HFrEF) with one recorded invitation. Send a second invite to enable exception coding if the patient does not engage.

๐Ÿ” [HF006] Two invitations sent

Patients with two invitations sent for ACEi/ARB discussion but not on treatment. Now eligible for exception coding under HF006.

๐Ÿ” [HF007] One invitation sent

Patients eligible for HF007 (beta-blocker in HFrEF) who have received one invitation. Send a second invitation to support future exception coding if no response.

๐Ÿ” [HF007] Two invitations sent

Patients with two invitations but not on a beta-blocker. These can now be exception-coded under HF007 if appropriate.


๐Ÿงพ DISENGAGED | No heart failure review this year or last year

Patients who have missed two consecutive years of HF review. These are often disengaged and at increased risk โ€” useful for proactive outreach or exception coding.


๐Ÿงพ 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.

๐Ÿงพ 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.

๐Ÿงพ 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.

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