❤️ Simple Contract CHD 2025/26

💷 How much is this worth to me?

This template supports compliance with key QOF CHD indicators that impact your practice’s contract income:

• CHD005 – Use of aspirin, clopidogrel, or anticoagulants in patients with CHD

• CHD015/CHD016 – Blood pressure control in CHD patients, stratified by age

• SMOK002 – Smoking status recorded for all patients aged ≥15

Meeting these indicators ensures appropriate care and maximises financial return under QOF.

---

📊 High-level overview of the specification requirements

CHD005: Antiplatelet or Anticoagulant Use

Patients with CHD should be on:

• Aspirin

• Clopidogrel

• Or an anticoagulant

A prescription in the last 6 months qualifies the patient. If not, one of the following must be coded:

• Declined

• Contraindicated

CHD015/CHD016: Blood Pressure Control

• Under 80s: Target BP ≤140/90 (or ≤135/85 home/ambulatory)

• Over 80s: Target BP ≤150/90 (or ≤145/85 home/ambulatory)

The latest BP reading must be recorded, including:

• Clinic BP

• Home readings

• Ambulatory measurements

SMOK002: Smoking Status

Current smoking status must be recorded within the last 15 months for all relevant patients.

---

📌 What do you need to know?

This template includes:

🩺 Blood Pressure Control (CHD015/CHD016)

• Manual entry of:

  • Clinic BP

  • Average home BP

  • Ambulatory BP

• Tickbox for when BP cannot be done or controlled

• Target levels adjust by age and measurement method

💊 CHD005: Antiplatelet or Anticoagulant Use

• Tickboxes for:

  • Aspirin

  • Clopidogrel

  • Anticoagulant

• PCA options for contraindications or patient refusal (per medication)

🚬 Smoking Status (SMOK002)

• Single dropdown for current smoking status

⚙️ Personalised Care Adjustments (PCAs)

• Record reasons for:

  • Not prescribing antiplatelets/anticoagulants

  • BP control issues

• Use bottom section to apply:

  • Full disease register exemption

  • Invitation-based exemptions (2+ invites, 7+ days apart)

---

💡 Hints and Tips

• Use the tickboxes to clearly state why CHD005 is not achieved if no relevant prescription exists.

• Be aware that home or ambulatory readings count towards BP targets — they often help reach target thresholds.

• For patients who cannot tolerate multiple antiplatelets, use the relevant PCA code rather than leaving fields blank.

• Keep the template updated with smoking status, even if unrelated to CHD — SMOK002 contributes separately to QOF.

• Review any patients approaching the QOF year-end with uncontrolled BP — prompt diary dates or medication review as needed.