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

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

Heart Failure

These searches support 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.



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.