🧠 Simple Contract Stroke/TIA 2025/26

💷 How much is this worth to me?

This template supports achievement of the following QOF indicators:

• STIA014 / STIA015 – Blood pressure control in stroke/TIA patients

• AF007 (in stroke/TIA context) – Use of an antiplatelet or anticoagulant

• SMOK002 / SMOK004 – Smoking status and cessation advice

Accurate completion ensures correct QOF reporting and supports local audits of stroke secondary prevention.

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📊 High-level overview of the specification requirements

Blood Pressure Control (STIA014/015)

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

• 80+ years: Target ≤150/90 (or ≤145/85 if home/ambulatory)

Antiplatelet/Anticoagulant Use (AF007)

• Patients with stroke/TIA should be prescribed:

  • Aspirin or

  • Clopidogrel or

  • Anticoagulant

• Declines or contraindications must be coded for each option not used

Smoking Indicators

• SMOK002 – Record current smoking status for all patients aged ≥15

• SMOK004 – Offer annual cessation support to all current smokers

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📌 What do you need to know?

This template includes:

🩺 Blood Pressure Recording

• Systolic and diastolic clinic BP

• Average home BP (systolic/diastolic)

• Ambulatory BP

• Tick exception box if BP can’t be recorded or controlled

💊 Antiplatelet / Anticoagulant Section (AF007)

• Tick whether the patient is on:

  • Aspirin

  • Clopidogrel

  • Anticoagulant

• Record declined or contraindicated for each type if none used

• A valid reason must be provided for each if target is not met

🚬 Smoking Status and Support

• Drop-down for current smoking status

• Tick if patient declined to provide it

• Record whether cessation support was given or declined

⚙️ Personalised Care Adjustments (PCAs)

• Full PCA options for:

  • Stroke/TIA indicators

  • Smoking indicators

• Use for permanent exclusions (e.g. frailty, clinical unsuitability)

📬 Patient Invitations

• Use to record 2+ invitations, 7+ days apart to support exception reporting

• Separate invite fields for stroke/TIA and smoking-related indicators

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💡 Hints and Tips

• If the patient is not taking any antiplatelet or anticoagulant, all three exemption reasons must be completed to achieve AF007 by exception.

• Home or ambulatory BP readings often help meet targets when clinic readings are high.

• Smoking indicators apply to all patients aged 15+, not just smokers.

• For patients with multiple stroke-related conditions (e.g. AF + TIA), ensure anticoagulant vs. antiplatelet choices are clearly documented.

• Always check whether a patient is already coded as declined or contraindicated from previous years — reuse where valid.