Quality Outcomes Framework (QOF) – KPI Index

Introduction

This page provides a central index of QOF KPI support articles that are directly navigable from the QOF Knowledge Base section. It is designed to help users move quickly to the relevant indicator guidance without needing to browse through each clinical area manually.

How to use this page

• Select the relevant clinical area below
• Click the KPI article you want to open
• Use the Retired QOF Targets section separately where needed for historic or retired indicators that still have support articles available from the same KB area

Asthma

1. AST014 – Newly diagnosed asthma with tests
2. AST015 – Asthma annual review
   
3. AST005 – Asthma register
   
   

Atrial Fibrillation

• AF001 – Atrial Fibrillation register
  
• AF006 – AF with CHA2DS2-VASc
  
• AF008 – AF on a DOAC
  

Blood Pressure

• BP002 – BP recorded in last 5 years
  

Cervical Screening

• CS006 – Age 50-64 with up to date smear
  
• CS005 – Age 25-49 with up to date smear

CHD

• CHD005 – CHD taking anticoagulant or antiplatelet
  
• CHD001 – Coronary Heart Disease register

Cholesterol

• CHOL004 – LDL cholesterol less than or equal to 2.0
  
• CHOL003 – Patients on a statin or other lipid lowering drug

COPD

• COPD015 – COPD register
  
• COPD010 – COPD review
  

Dementia

• DEM004 – Dementia care plan review
• DEM001 – Dementia register
  

Diabetes

• DM037 – Diabetic 8 Key Care Processes
  
• DM036 – Diabetes, 79 and under, not frail, with BP 140/90mmHg or less
  
• DM035 – Diabetes (with a history of CVD) on a statin or other lipid lowering therapy
  
• DM034 – Diabetes (with no history of CVD or frailty) on a statin or other lipid lowering therapy
• DM021 – Diabetes (frail) with HbA1c less than or equal to 75
  
• DM020 – Diabetes (without frailty) with HbA1c less than or equal to 58
  
• DM014 – New diabetics referred to Structured Education Programme
  
• DM006 – Diabetes (with nephropathy or micro-albuminuria) on ACEi or ARB
  
• DM017 – Diabetes Mellitus register
  

Heart Failure

• HF009 – Heart Failure on 4 pillars
  
• HF007 – Heart Failure review
• HF008 – New Heart Failure diagnosis with echo or specialist assessment
  
• HF001 – Heart Failure register
  

Hypertension

• HYP010 – Hypertensive, age <80, no frailty BP 140/90 mmHg or less (or equivalent)
  
• HYP011 – Hypertensive, age 80+, no frailty BP 150/90 mmHg or less (or equivalent)
• HYP001 – Hypertension register
  

Learning Disability

• LD005 – Learning Disabilities register
  

Mental Health

• MH012 – HbA1c for SMI
  
• MH011 – lipid check for SMI
• MH007 – alcohol consumption for SMI
  
• MH006 – BMI for SMI
• MH003 – BP for SMI
  
• MH002 – SMI care plan
• MH001 – Severe Mental Illness register
  

Non-diabetic Hyperglycaemia

• NDH003 – HbA1c monitoring
  

Obesity

• OB003 – Living with Obesity
  
• OB004 - Raised BMI referred for weight management
• OB005 - Raised BMI prescribed pharmacotherapy and referred to behavioural support
  

Smoking

• SMOK004 – Smokers given advice
• SMOK002 – Smoking status recorded for long term conditions
  

Stroke

• STIA007 – Stroke taking anticoagulant or antiplatelet
  
• STIA001 – Stroke and TIA register

Vaccination and Immunisation

• VI004 – Shingles vaccination
  
• VI003 – Pre school boosters given before 5 years of age
• VI002 – 1st MMR given before 18 months of age
  
• VI001 – DTP primary course completed before 8 months of age
  

Retired QOF Targets

These retired indicator articles are also directly reachable from the same QOF KB area via Retired QOF Targets here.

• AST012 – Newly diagnosed asthma with tests
• AST011 – Newly diagnosed asthma with tests
• NDH002 – HbA1c monitoring
• HYP009 – Hypertensive, age 80+, BP 150/90 mmHg or less
• HYP008 – Hypertensive, age <80, BP 140/90 mmHg or less
• HF006 – Heart Failure on a beta-blocker
• HF003 – Heart Failure on ACEi or ARB
• DM033 – Diabetes, not frail, with BP 140/90mmHg or less
• DM023 – Diabetes (with a history of CVD) on a statin
• DM022 – Diabetes (with no history of CVD or frailty) on a statin
• DM012 – Diabetic foot risk classification
• RA001 – Rheumatoid Arthritis register
• PC001 – Palliative Care register
• PAD001 – Peripheral Arterial Disease register
• OST004 – Osteoporosis register
• LD004 – Learning Disabilities register
• EP001 – Epilepsy register
• CKD005 – Chronic Kidney Disease register
• CHD016 – CHD, age 80+, with BP 150/90 mmHg or less
• CHD015 – CHD, age <80, with BP 140/90 mmHg or less
• STIA015 – Stroke, age 80+, BP 150/90 mmHg or less
• STIA014 – Stroke, age <80, BP 140/90 mmHg or less
• SMOK005 – Smokers with LTC offered quit support
• COPD014 – MRC≥3 referred to pulmonary rehab
• DEP004 – New depression review within 8 weeks
• MH021 – Completed Physical Health Check for SMI
• CAN005 – Cancer support discussion
• CAN004 – Cancer care review
• CAN001 – Cancer register

Whole Service Summary

This page indexes the QOF KPI articles that are actually reachable from the Primary Care IT QOF Knowledge Base section, grouped into active clinical areas and retired targets so users can navigate directly to the relevant support article.