NDH002 - HbA1c monitoring (Retired v51 2026/27)
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 |
The percentage of patients with non-diabetic hyperglycaemia who have had an HbA1c or fasting blood glucose performed in the preceding 12 months. |
What do the business rules mean?
What makes a patient eligible?
Patients are eligible for the NDH002 denominator if:
- they have a diagnosis of Non-Diabetic Hyperglycaemia (including Pre-Diabetes and Impaired glucose tolerance codes)
or - they had a diagnosis of NDH at the beginning of the contract year, but subsequently have been diagnosed with diabetes during this contract year
How to achieve the indicator
To meet the criteria for MH012, eligible patients must:
- have an HbA1c or glucose result recorded in the contract year
What will remove patients from eligibility?
- Patients for whom non diabetic hyperglycaemia quality indicator care was unsuitable in the contract year
- Patients who chose not to have a glucose test in the contract year
- Patients who chose not to receive non diabetic hyperglycaemia quality indicator care in the contract year
- Patients who were invited twice for review (at least 7 days apart) within the contract year
- Patients who were diagnosed with non diabetic hyperglyaemia in the last 3 months of the contract year
- Patients who were newly registered with the practice in 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.
What are the common pitfalls/what do I need to watch out for?
Patients who have been diagnosed with diabetes during this contract year appear in both the NDH register (NDH_REG) and the Diabetes register. The patient will stay on the NDH register for the remainder of this contract year, and will then drop off on the next 1st April.
Think of this as having monitoring work for NDH recognised, as HbA1c monitoring would have indicated the diabetes diagnosis.
Think of this as having monitoring work for NDH recognised, as HbA1c monitoring would have indicated the diabetes diagnosis.
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.
Codes for non diabetic hyperglycaemia quality indicator care unsuitable for patient (NDHPU_COD)
SNOMED code | SNOMED code description |
148551000000106 | Excepted from non-diabetic hyperglycaemia quality indicators - patient unsuitable |
Codes indicating the patient has chosen not to receive a blood glucose test (GLUCDEC_COD)
SNOMED code | SNOMED code description |
698473004 | Blood glucose test declined |
Codes indicating the patient has chosen not to receive non diabetic hyperglycaemia quality indicator care (NDHPCADEC_COD)
SNOMED code | SNOMED code description |
148541000000108 | Excepted from non-diabetic hyperglycaemia quality indicators - informed dissent |
Invite for non diabetic hyperglycaemia care review codes (NDHINVITE_COD)
SNOMED code | SNOMED code description |
1109921000000106 | Quality and Outcomes Framework quality indicator-related care invitation |
148561000000109 | Quality and Outcomes Framework non-diabetic hyperglycaemia quality indicator-related care invitation |
148571000000102 | Quality and Outcomes Framework non-diabetic hyperglycaemia quality indicator-related care invitation using preferred method of communication |