PCN DES Contractual Reporting - Cardiovascular Risk

PCN DES Contractual Reporting - Cardiovascular Risk

Cardiovascular Risk – Patient List & PCN Level Dashboards

Purpose

These dashboards allow you to identify and track patients at risk of cardiovascular disease, even if a QRISK score has not been recorded.
They are designed to help practices and PCNs:
  1. Identify high and medium risk patients without a QRISK in the last 12 months.
  2. Highlight high and medium risk patients who are not on statin therapy.
  3. Monitor trends in risk groups over time.
  4. Target prescribing gaps in line with NICE lipid management guidelines.

Dashboard Views

There are two main views:
  1. PCN Level View – aggregated performance across all practices in your PCN.
  2. Patient List View – detailed patient-level data.
You can switch between them using the orange button in the top right corner.
or:

PCN Level View

The PCN view summarises patient numbers across all practices, helping identify gaps and track improvement at a network level. It has three tabs:

a) Total Patients with no QRISK or Statin

Shows counts of patients by risk band (High, Medium, Low) and sex.
Use this to see which practices have the largest at-risk cohorts without QRISK or statin.

b) Trend – Patients with no QRISK or Statin

Displays line charts showing changes in patient numbers over time, split by sex and risk band.
Ideal for monitoring the impact of recall programmes or prescribing initiatives.

c) QRISK Greater than 10 & Statin Status

Shows the proportion of patients in each QRISK band (10–20, 20–30, 30–40, 40+) on or not on a statin for each practice.
Use this to identify prescribing gaps and prioritise reviews.

Patient List View

This view shows every patient in the practice with a calculated level of cardiovascular risk — even if they haven’t had a QRISK score recorded.

Manual filters

Use the green filter bar at the top of the dashboard to refine the patient list.
You can filter by:
  1. Practice Name – one or more practices.
  2. Risk Band (PCIT calculated) – High, Medium, Low.
  3. Sex – Male or Female.
  4. Statin Status – On statin or not.
  5. QRISK Status – QRISK recorded or not.
  6. QRISK Score – Set a numeric range.
  7. QRISK Date – Filter by the latest date the QRISK has been recorded.
The “Total Patients” count updates instantly as filters are applied.

Pre-set filters

The blue panel on the right provides one-click shortcuts for the most common searches:

High & Medium Risk, No QRISK last 12m

High & Medium Risk, No Statin

These can be used alone or in combination with manual filters for targeted searches.


Idea
You can use the manual filters along side the pre set filters to refine your search further


Using the filters - Video Example





Practical use cases

For practices
  1. Find high-risk patients without a QRISK in the last year and invite them for assessment.
  2. Identify eligible patients for statin initiation.
  3. Monitor effectiveness of recall campaigns.
For PCNs
  1. Benchmark practices to see where support is most needed.
  2. Track reductions in high-risk untreated patients over time.
  3. Target educational or clinical interventions for practices with the largest gaps.

Best practice tips

  1. Start with the PCN view to identify the biggest gaps, then drill down into the Patient List view for targeted action.
  2. Use Trend data to evidence improvement over time for QOF, IIF, or local incentive schemes.
  3. Combine pre-set and manual filters for maximum precision.

 

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