🧪 Simple Contract Non Diabetic Hyperglycaemia (NDH) 2025/26

💷 How much is this worth to me?

This template supports achievement of the following QOF indicator:

• NDH002 – Recording an annual HbA1c result for patients on the NDH register

Meeting this indicator ensures continued funding under the QOF framework and supports early identification of patients at risk of developing Type 2 diabetes. It may also contribute to enhanced service contracts in some areas.

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📊 High-level overview of the specification requirements

NDH002: HbA1c Recording

• Patients on the NDH register must have an HbA1c recorded each QOF year

• If not possible, a valid Personalised Care Adjustment (PCA) must be applied:

  • Declined testing

  • Clinically unsuitable

  • Patient has opted out of NDH monitoring

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📌 What do you need to know?

This template includes the following fields:

🧪 HbA1c Result Entry

• Record the latest HbA1c value in mmol/mol

• This value will be used to confirm whether the indicator has been met for the year

⚙️ Personalised Care Adjustments (PCAs)

Options include:

• Blood glucose test declined

• Patient is unsuitable for NDH indicators

• Patient has declined NDH indicators

Recording one of these will exception code the patient from the NDH002 indicator for the QOF year.

📬 Invitations

• If the patient has not attended, you can record up to two invitations (7+ days apart) to qualify for exception reporting

• These should be coded appropriately using the dropdown menu provided

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💡 Hints and Tips

• Ensure HbA1c is recorded within the QOF year — values from the previous year will not count.

• The same blood result may also satisfy diabetes screening or enhanced service requirements if appropriately coded.

• Use PCA codes only when clinically justified or when the patient declines testing after invitation.

• Where testing is overdue, consider linking this template to recall or diary date processes to flag patients due review.

• Remember that NDH codes are used to track patients at risk — timely intervention here helps prevent diabetes development.