🌬️ Simple Contract COPD 2025/26

💷 How much is this worth to me?

This template supports performance against key QOF indicators for patients with COPD:

• COPD015 – Annual review including MRC Dyspnoea score and exacerbation count

• SMOK002 – Smoking status recorded

• SMOK004 – Smoking cessation advice offered

Correct use ensures patients are accurately reviewed, appropriate lifestyle interventions are documented, and income is not lost due to incomplete coding.

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📊 High-level overview of the specification requirements

COPD015: COPD Review

You must complete and code:

• MRC Dyspnoea Score

• Exacerbation count in the past 12 months

• Annual COPD review

Reviews can also be documented at 3 or 6 months if relevant, but only the annual review counts for QOF.

SMOK002: Smoking Status

Smoking status must be recorded for all patients aged 15 or over.

SMOK004: Smoking Cessation Advice

Current smokers must be offered smoking cessation support or advice annually.

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📌 What do you need to know?

This template includes the following components:

📈 MRC Dyspnoea Score

Choose one of five grades:

1. Breathless only on strenuous exercise

2. Short of breath when hurrying or walking uphill

3. Walks slower than others, stops after a mile or 15 minutes

4. Stops after 100 yards or a few minutes on the flat

5. Too breathless to leave the house or dress

🡺 You must record the MRC score and confirm that the review was completed.

🔁 Exacerbation Count

• Record the number of exacerbations in the last year (required for review validation).

🗓️ COPD Review Confirmation

Tick one of:

• 3-monthly review

• 6-monthly review

• Annual review (required for QOF)

🚬 Smoking Data (SMOK002 & SMOK004)

• Record smoking status

• Offer cessation advice

• Tick boxes for declined support or refusal

⚙️ PCA and Exemptions

• Apply full PCA to remove patient from all COPD or smoking indicators

• Use the Invitation section to record:

  • COPD-specific invites

  • Smoking-specific invites

  • Required for exception coding (e.g. 2 invites 7+ days apart)

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💡 Hints and Tips

• COPD015 requires three things: MRC score, exacerbation count, and annual review coding.

• Smoking indicators apply to all COPD patients aged 15+ — always record even if unrelated to review.

• Use appropriate PCA or invitation coding for non-attenders or patients who decline monitoring.

• Smoking cessation advice must be recorded each year even if already declined previously.

• Consider using structured diary dates or recall systems to avoid missed annual reviews.