AST005 - Asthma register

The codes referenced in this article are taken from the NHS Technology Reference Update Distribution (TRUD).  Not all of these may be present or selectable in all clinical systems.

The information contained within this article is from version 50 of the Business Rules for Quality and Outcomes Framework (QOF).                                                                                  

This indicator

1. was protected in the contract year 2024/25 and paid at 2023/24 performance levels.                                                                                                                                                     
   
2. was retired in the contract year 2025/26
   

This support article is retained as the asthma QOF indicators are based on this register and best practice would be to accurately maintain your disease registers.

Indicator definition

Indicator ID	Description
AST005	The contractor establishes and maintains a register of patients with asthma, aged 6 years or over, excluding patients with asthma who have been prescribed no asthma-related drugs in the preceding 12 months.

What are the criteria for this indicator?

In order to be included in AST005, patients must have:

1. An asthma diagnosis before the end of the current QOF year
   
2. Had asthma related treatment in the 12 months up to the end of the current QOF year (i.e. at any stage during the current QOF year)
   
3. No "asthma resolved" code since the last asthma diagnosis
   
4. Be 6 years old or above

What are the common pitfalls/what do I need to watch out for?

Patients must have had asthma medication during the QOF year to be included on the asthma register.  Therefore those patients who have had an occasional inhaler issued towards the end of the contract year and haven't had an asthma review will adversely affect your QOF performance.

Disease area indicators

AST012

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