CAN004 - Cancer care review (Retired v50 2025/26)
This indicator was retired in the contract year 2025/26 but remains in the business rules
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).
Indicator definition
Indicator ID | Description |
CAN004 | The percentage of patients with cancer, diagnosed within the preceding 24 months, who have a patient Cancer Care Review using a structured template recorded as occurring within 12 months of diagnosis. |
What do the business rules mean?
What makes a patient eligible?
Patients are eligible for the CAN004 denominator if:
- they have been diagnosed with cancer during the current contract year
or
- they were diagnosed with cancer during the previous contract year, but did not have a Cancer Care Review completed in the 12 months following diagnosis
How to achieve the indicator
Conduct a Cancer Care Review using a structured template within 12 months following the cancer diagnosis.
What will remove patients from eligibility?
- Patients who were diagnosed within the current contract year and they haven't had a cancer care review (they will also appear in next year's denominator)
- Patients for whom cancer care quality indicator care was unsuitable in the contract year
- Patients who chose not to receive cancer care in the contact year
- Patients who have not responded to at least two cancer care review invitations (at least 7 days apart) in the contract year
- Patients who were diagnosed with cancer within the last 3 months of the contract year
- Patients who were newly registered with the practice within the last 3 months of the contract year
If a patient achieves the indicator at any point during the year, any exclusions that have also been added are ignored.
SNOMED codes used in this indicator
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.
Code for cancer care review (MDRV_COD)
SNOMED code | SNOMED code description |
720006006 | Cancer care review |
Codes for cancer quality indicator care unsuitable for patient (CANPCAPU_COD)
SNOMED code | SNOMED code description |
716511000000108 | Excepted from cancer quality indicators - patient unsuitable |
Codes indicating the patient has chosen not to receive cancer quality indicator care (CANPCADEC_COD)
SNOMED code | SNOMED code description |
| 717601000000107 | Excepted from cancer quality indicators - informed dissent |
Invite for cancer care review codes (CANINVITE_COD)
SNOMED code | SNOMED code description |
1110871000000109 | Quality and Outcomes Framework cancer quality indicator-related care invitation |
143351000000108 | Quality and Outcomes Framework cancer quality indicator-related care invitation using preferred method of communication |
248331000000109 | Cancer monitoring telephone invitation |
413738001 | Cancer monitoring first letter |
413739009 | Cancer monitoring invitation |
413740006 | Cancer monitoring second letter |
413741005 | Cancer monitoring third letter |
417084004 | Cancer monitoring verbal invitation |
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