LD004 - Learning Disabilities register (Retired v50 2025/26)

LD004 - Learning Disabilities register (Retired v50 2025/26)

Warning
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.                  
Info
The information contained within this article is from version 49 of the Business Rules for Quality and Outcomes Framework (QOF).                                                                                    
Idea
This indicator was retired in the contract year 2025/26 and replaced by LD005 to allow exclusions of patients from the register

Indicator definition

Indicator ID

Description

LD004

The contractor establishes and maintains a register of patients with learning disabilities.


What are the criteria for this indicator?

In order to be included in LD004, patients must:
  1. have a diagnosis of a learning disability

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

Alert
In November 2023 the NHS updated the reference set LD_COD, adding 300 diagnosis codes. Some 'new' codes have unexpectedly added patients onto the register. Patients with codes of Dysequilibrium syndrome or Sjogren-Larsson Syndrome are included on the register even if they do not have a learning impairment.