004B Routine QOF work | * Indicator Navigator | Mental Health

004B Routine QOF work | * Indicator Navigator | Mental Health

Mental Health

These searches help support practices in delivering and monitoring annual QOF care for patients with a diagnosis of severe mental illness. The relevant indicators cover care planning, alcohol and physical health monitoring, and include exception opportunities (PCAs) when care cannot be delivered.


🔍 [MH] Outstanding indicator and one invitation sent

Patients with one or more unmet mental health indicators (e.g. care plan, alcohol, BMI, BP, glucose/HbA1c, or lipids) who have received one invitation.

  • Action: Send a second invitation to allow exception coding for any indicators still outstanding.

🔍 [MH] Outstanding indicator and two invitations sent

Same as above, but patients have now received two invitations.

  • Action: These patients are now eligible for exception reporting for any indicators not completed.

🧾 DISENGAGED | Mental health patients who didn’t have a care plan last year

Patients who did not have a coded care plan in the previous QOF year. Indicates disengagement or missed care – ideal for recall or exception coding review.

🔍 NOT ACHIEVED | 1 mental health indicator outstanding

Patients who are missing 1 of the QOF mental health indicators this year. Quick to resolve – often a single check or coding issue.

🔍 NOT ACHIEVED | 2 mental health indicators outstanding

Patients missing 2 of the 6 mental health indicator components.

  • Tip: Resolving even one can improve QOF payment banding.

🔍 NOT ACHIEVED | 3+ mental health indicators outstanding

Patients missing 3 or more indicators. These are high-priority for follow-up or review for potential PCAs if care cannot be completed.

🧾 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 | MH003 BP not done previous PCA

Patients with no blood pressure reading and previous PCA. Check for reapplication or assess if a BP can now be taken.

🧾 PCA CHECK | MH006 BMI not done previous PCA

Patients with BMI check outstanding and previous exception applied. Consider reapplying PCA if remains unsuitable.

🧾 PCA CHECK | MH007 alcohol not done previous PCA

Patients who did not have alcohol screening done, and had a previous exception applied. 
  1. Action: Review for potential reapplication of PCA or offer screening if appropriate.

🧾 PCA CHECK | MH011 lipids not done previous PCA

Patients without a lipid result this year and a PCA previously recorded.
  1. Action: Reassess the patient’s current eligibility or appropriateness for blood testing.

🧾 PCA CHECK | MH012 glucose/HbA1c not done previous PCA

Patients with no HbA1c or glucose check, and a prior PCA applied.

  • Action: Consider whether bloods are now possible or a new PCA is needed.