This template directly supports achievement of QOF asthma indicators and smoking indicators, helping ensure full payment for patients on the asthma register. Specifically, it supports:
AST007 – Annual asthma review including written self-management plan
SMOK002 – Current smoking status recorded
SMOK004 – Smoking cessation advice offered to smokers
Incorrect coding or missing entries can result in indicator failure, even if the care has been delivered.
You must record an annual asthma review that includes:
Discussion of symptom control
Provision of a written self-management plan
Review of exacerbations and medication
All patients aged ≥15 must have a smoking status recorded within the last 15 months.
All current smokers must be offered smoking cessation advice or support annually.
Patients can be removed from these indicators via personalised care adjustments (PCAs), including:
Declining reviews or support
Maximum tolerated therapy
Exception reporting via appropriate invitation recording
This template includes all required elements for contract achievement:
Record number of exacerbations in the past 12 months
Tickboxes to confirm:
Self-management plan provided
Asthma review undertaken
Select current smoking status (including declined)
Record smoking cessation advice if appropriate
Tickboxes for declined support
Options to:
Remove patient from all asthma indicators
Remove patient from all smoking indicators
Record invitations (e.g. 2+ invites 7 days apart for exemption)
Tick both boxes for AST007: one for the review, one for the self-management plan — both are required.
If the patient declines smoking status or cessation support, make sure to code this explicitly to enable PCA.
Use the bottom section of the template to record invitations and document exemption attempts.
Where local enhanced asthma reviews exist, these will also appear in the template to avoid duplication.
Double-check that the review date is within the current QOF year — a common reason for indicator failure.