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.
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.
Patients with two invitations sent and no review coded. These are now eligible for exception coding under HF003.
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.
Patients with two invitations sent for ACEi/ARB discussion but not on treatment. Now eligible for exception coding under HF006.
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.
Patients with two invitations but not on a beta-blocker. These can now be exception-coded under HF007 if appropriate.
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.
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.
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.
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.