This folder supports achievement of the following QOF indicators for patients with a history of stroke or TIA:

• STIA007 – Antiplatelet or anticoagulant therapy

• STIA014 – BP ≤140/90 mmHg in patients aged under 80

• STIA015 – BP ≤150/90 mmHg in patients aged 80 or over

These searches help manage invitations, borderline readings, high-risk patients, PCA opportunities, and antiplatelet status confirmation.

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.

🔍 [STIA007] One invitation sent

Patients eligible for STIA007 who have received one invitation for medication review. Send a second invite to enable exception coding if no response.

🔍 [STIA007] Two invitations sent

Patients with two invitations sent and no antiplatelet or anticoagulant recorded. These are now eligible for exception coding under STIA007.

🔍 [STIA014] One invitation sent

Patients aged under 80 eligible for STIA014 (BP ≤140/90) who have had one invitation. Send another to support potential exception reporting. 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.

🔍 [STIA014] Two invitations sent

Same patients with two invitations and no BP to target. These are now eligible for exception coding under STIA014.

🔍 [STIA015] One invitation sent

Patients aged 80+ eligible for STIA015 (BP ≤150/90) who have had one invitation. Send a second if needed for exception eligibility. 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.

🔍 [STIA015] Two invitations sent

Patients aged 80+ with two invitations and raised BP. These are now eligible for exception coding under STIA015.

🧾 BORDERLINE | STIA014 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. Home/ambulatory thresholds are lower than surgery thresholds, so these patients may achieve CHD015 if a surgery reading is taken.

• Action: Invite for a surgery reading to secure STIA014.

🧾 BORDERLINE | STIA015 would have achieved surgery BP target

Same as above, for patients aged 80+ under STIA015. These patients might meet STIA015 if they are invited in for a surgery-based reading.

🧾 CHECK BORDERLINE | STIA014 BP this year not to target NO previous PCA

🧾 CHECK BORDERLINE | STIA015 BP this year not to target NO previous PCA

🧾 HIGH RISK | STIA014 no BP reading this QOF year but latest was raised

Patients aged <80 with no current BP reading and previous raised BP. Likely to fail STIA014 if not followed up.

🧾 HIGH RISK | STIA015 no BP reading this QOF year but latest was raised

Patients aged 80+ with no BP recorded this year, and last reading was raised. Likely to fail STIA015 without intervention.

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

Catch-all list of stroke/TIA patients with no BP this year and previous high readings. Review to prevent indicator failure.

🧾 PCA CHECK | STIA014 BP this year not to target on 3+ antihypertensives

Patients aged <80 who are not to target despite being on 3+ antihypertensives. Likely appropriate for maximal tolerated therapy PCA under STIA014.

🧾 PCA CHECK | STIA015 BP this year not to target on 3+ antihypertensives

Same as above, but for patients aged 80+ under STIA015.

🧾 PCA CHECK | STIA014 BP this year not to target previous PCA

Patients under 80 not to target this year and had a PCA previously recorded. Review for reapplication under STIA014.

🧾 PCA CHECK | STIA015 BP this year not to target previous PCA

Patients aged 80+ not to BP target, with previous PCA applied. Reassess under STIA015.

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

Patients with stroke/TIA and no BP this year, but latest reading was within target. Ideal for opportunistic BP check — likely to meet STIA014/015 with minimal effort.

🔍 STIA007 Antiplatelet questionnaire to send out by letter

Patients not on antiplatelet/anticoagulant and may require clarification. Use this version to post a questionnaire and establish medication status.

🔍 STIA007 Antiplatelet questionnaire to send out by SMS

Same as above, optimised for SMS delivery to collect responses quickly.