This release updates the QOF template resource set to align sections, visibility logic, indicator naming and support links with the latest QOF indicator structure (v51). The release affects asthma, COPD, NDH/GDM, cardiovascular disease, CHD, stroke, obesity, hypertension, diabetes and heart failure resources. Overall over 150 resources within the PCIT resource library have been updated or newly created to handle this update.
The release includes updates for AST014, AST015, COPD010, NDH003, CD001, CD002, OB004, OB005, HYP010, HYP011, DM037 and HF009, alongside supporting CHD, stroke, obesity, diabetes and heart failure page sections.
Asthma QOF sections have been renamed and updated for the revised AST014 and AST015 indicators. The previous AST007 and AST012 section resources have been updated to use the new indicator names, updated support article links, and revised visibility concepts.
The asthma logic has also been updated to support the new age 5+ eligibility rules. New supporting concepts include the updated asthma register for patients aged 5 and over, eligibility checks for AST014/AST015, QOF timeframe review/test checks, and alert concepts used to control section visibility.
Support impact:
Patients aged 5+ may now trigger asthma review or objective testing prompts where they meet the relevant AST014 or AST015 criteria. Practices should see updated section names and links rather than the previous AST007/AST012 wording.
The COPD010 section now uses updated visibility logic to reflect changes to the COPD register. The supporting COPD page concept has also been updated so that COPD review prompts are controlled using the revised COPD register and annual review logic.
Supporting COPD concepts include COPD procedure/date and diagnosis code logic, a revised COPD register concept, COPD review eligibility and COPD annual review achievement concepts.
Support impact:
Where a patient appears to be missing a COPD review prompt, support teams should check the updated COPD register logic and the COPD010 alert concept rather than relying on the previous COPD003/COPD010 visibility concept.
The NDH002 section has been renamed and updated to NDH003. The resource now includes gestational diabetes within the eligibility pathway and has updated support article links.
New supporting concepts include gestational diabetes coding, combined NDH/GDM eligibility, GDM unsuitable and informed dissent codes, and the revised NDH003 alert concept. The NDH page concept has also been updated to include gestational diabetes coding.
Support impact:
NDH003 prompts may now appear for patients with relevant gestational diabetes coding as well as non-diabetic hyperglycaemia. Where practices query exception or invite options, support should advise users to select the option appropriate to the patient’s diagnosis pathway.
New CD001 and CD002 resources have been created by repurposing previous CHD blood pressure indicator library items. These now support age-based cardiovascular blood pressure targets, with separate logic for patients aged under 80 and patients aged 80 or over.
CHD and stroke sections have also been updated with revised blood pressure target text, frailty status pick lists and cardiovascular exception options. Moderate or severe frailty is now included as an exclusion from the relevant blood pressure target prompts.
Support impact:
For CHD, stroke and cardiovascular BP target queries, support should check the patient’s age band and frailty status. The relevant targets are 140/90 for patients under 80 and 150/90 for patients aged 80 or over, with corresponding home or ambulatory reading guidance shown in the resource text.
There are brand new sections in our templates for OB004 and OB005 indicators. The OB004 section has been written to support weight management referral logic, including BMI thresholds, ethnicity-adjusted BMI criteria, referral timing and patient choice or unsuitable care codes.
The OB005 section adds obesity pharmacotherapy and behavioural support logic, including BMI criteria, dyslipidaemia, ASCVD, obstructive sleep apnoea, type 2 diabetes, hypertension, bariatric surgery, pharmacotherapy, behavioural support referral, shared decision-making and relevant PCA/contraindication concepts.
Support impact:
For OB004 queries, support should check BMI value/code, ethnicity-adjusted BMI criteria and whether a qualifying weight management referral exists within the required timeframe. For OB005 queries, support should check the wider obesity eligibility criteria and whether pharmacotherapy, behavioural support, shared decision-making, contraindication or declined-care coding has been recorded.
Hypertension resources have been renamed and repurposed for HYP010 and HYP011. HYP010 supports patients aged 79 or under with a latest blood pressure of 140/90 or less. HYP011 supports patients aged 80 or over with a latest blood pressure of 150/90 or less.
New alert concepts have been added for both indicators, and the section descriptions and support material links have been updated.
Support impact:
Where a hypertension prompt does not appear as expected, support should confirm whether the patient falls into the under-80 or 80+ cohort and check against the relevant HYP010 or HYP011 visibility concept.
The resource now includes all elements for the diabetes 8 Key Care Processes indicator, including blood pressure, smoking status and cholesterol recording concepts.
The main diabetes section has also been updated to include the 8 Key Care Processes and related indicator targets. Rockwood score guidance has been retained in the resource information, but Rockwood scores have been removed from the frailty code pick list.
Support impact:
For frailty-related diabetes target queries, check the updated frailty logic rather than older Rockwood-based pick list behaviour.
The previous HF006 section has been repurposed and rewritten for HF009. The resource now supports heart failure four-pillar therapy requirements, including eligibility logic, therapy achievement logic and reasons for not receiving treatment.
Supporting concepts include HF3 register logic, four-pillar therapy checks, beta-blocker, mineralocorticoid, SGLT2 inhibitor and ACE/ARB exception or declined-care concepts, plus reduced ejection fraction eligibility support via the updated HF003 resource.
Support impact:
For HF009 support queries, check whether the patient is on the relevant HF3/HFrEF pathway, whether four-pillar therapy has been recorded, and whether any contraindication, declined-care or exception coding applies.